Ms Medora Little, RD is a
Dietitian, Registered based in Homestead Afb, Florida. Ms Medora Little is licensed to practice in Florida (license number ND 3219) and her current practice location is
482 Nd Medical Squadron, 12749 Elmendorf St, Bldg 347, Homestead Afb, Florida. She can be reached at her office (for appointments etc.) via phone at
(304) 224-7309.
NPI number for Ms Medora Little is 1619126083 and her current mailing address is 1472 21st St Sw, Largo, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619126083.
Healthcare Provider's Profile
| Full Name | Ms Medora Little |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 482 Nd Medical Squadron, Homestead Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619126083
- Provider Enumeration Date: 09/10/2008
- Last Update Date: 03/12/2010
Medical Identifiers
Medical identifiers for Ms Medora Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619126083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | ND 3219 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Medora Little is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Medora Little, RD
1472 21st St Sw,
Largo, FL 33770-4743
Ph: (813) 827-9360 | Ms Medora Little, RD
482 Nd Medical Squadron, 12749 Elmendorf St, Bldg 347,
Homestead Afb, FL 33039-0001
Ph: (304) 224-7309 |
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