Dr John Vincent Logomarsino, PHD, RD, LD/N | |
842 Maybank Loop, The Villages, FL 32162-8782 | |
(352) 430-5487 | |
Not Available |
Full Name | Dr John Vincent Logomarsino |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 842 Maybank Loop, The Villages, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720277155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | ND5152 (Florida) | Primary |
Provider Name | Village Nutritionist |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134763055 PECOS PAC ID: 9830421189 Enrollment ID: O20191106000465 |
Mailing Address | Practice Location Address |
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Dr John Vincent Logomarsino, PHD, RD, LD/N 842 Maybank Loop, The Villages, FL 32162-8782 Ph: (352) 430-5487 | Dr John Vincent Logomarsino, PHD, RD, LD/N 842 Maybank Loop, The Villages, FL 32162-8782 Ph: (352) 430-5487 |
Village Nutritionist Dietitian Medicare: Medicare Enrolled Practice Location: 842 Maybank Loop, The Villages, FL 32162 Phone: 352-430-5487 | |
Maria Fashingbauer, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1575 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-674-1740 | |
Karen M Bolderman, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 N Us Highway 441, Suuite 810, The Villages, FL 32159 Phone: 352-674-8700 Fax: 352-674-8714 | |
Dr. Sharon L Peterson, PHD, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8877 Se 165th Mulberry Ln, The Villages, FL 32162 Phone: 352-674-1750 Fax: 352-674-8950 | |
Kristen M Hubbard, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1575 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-674-1740 Fax: 352-674-8940 | |
Sara J Murray, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd Ste 100, The Villages, FL 32162 Phone: 352-674-1760 | |
Prudence J Artello, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2910 Brownwood Blvd, The Villages, FL 32163 Phone: 352-674-1790 |