Mr Devin P Breedon, | |
2508 Se 17th St Unit C, Ocala, FL 34471-5523 | |
(352) 462-3602 | |
(352) 352-9390 |
Full Name | Mr Devin P Breedon |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 2508 Se 17th St Unit C, Ocala, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376847004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Vital Nutrition Dietitian |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477330603 PECOS PAC ID: 7113370081 Enrollment ID: O20240126001738 |
Mailing Address | Practice Location Address |
---|---|
Mr Devin P Breedon, 4083 Sw 49th Ter, Ocala, FL 34474-9684 Ph: (734) 755-4975 | Mr Devin P Breedon, 2508 Se 17th St Unit C, Ocala, FL 34471-5523 Ph: (352) 462-3602 |
Joshua L Garsow, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Sw 1st Ave, Ocala, FL 34471 Phone: 502-402-5255 | |
Mrs. Chelsea Nicole Thorp, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5235 Se 39th Loop, Ocala, FL 34480 Phone: 352-502-4626 | |
Mrs. Sylvia Ann Finch, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 E Silver Springs Blvd, Suite #226, Ocala, FL 34470 Phone: 352-369-3320 Fax: 352-369-3324 | |
Grace Skoog Skinner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Sw 1st Ave, Ocala, FL 34471 Phone: 352-402-5167 Fax: 352-402-5157 | |
Mrs. Elizabeth Zarcone Reardon, M.S., R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Sw 1st Ave, Munroe Regional Medical Center, Ocala, FL 34474 Phone: 352-402-5255 Fax: 352-402-5257 | |
Ms. Etta L. Swails, RD/LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1440 Sw 3rd Ave., Ocala, FL 34471 Phone: 352-620-8600 Fax: 352-620-8008 | |
Joy Semelka, R.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2102 Sw 20th Pl, Bldg 200, Suite 202, Ocala, FL 34471 Phone: 352-291-5055 Fax: 352-291-5020 |