Enlightened Rd | |
6301 Sw Bald Eagle Dr, Palm City, FL 34990-8865 | |
(941) 448-9633 | |
(866) 399-7621 |
Full Name | Enlightened Rd |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 6301 Sw Bald Eagle Dr, Palm City, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245469642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | ND 2941 (Florida) | Primary |
Provider Name | Paulette M Weber |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1720220528 PECOS PAC ID: 7911052691 Enrollment ID: I20090901000566 |
Mailing Address | Practice Location Address |
---|---|
Enlightened Rd 6301 Sw Bald Eagle Dr, Palm City, FL 34990-8865 Ph: (941) 448-9633 | Enlightened Rd 6301 Sw Bald Eagle Dr, Palm City, FL 34990-8865 Ph: (941) 448-9633 |
Teala Vandeven, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5128 Sw Landing Creek Dr, Palm City, FL 34990 Phone: 954-383-7481 | |
Dr. Maureen E Kedra, PHARMD RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3152 Sw Buena Vista Dr, Palm City, FL 34990 Phone: 772-240-9045 | |
Cynthia Schaul, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3041 Sw Grapevine Ln, Palm City, FL 34990 Phone: 904-699-9103 | |
Stacy Ferrari, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1170 Sw Lighthouse Dr, Palm City, FL 34990 Phone: 772-486-2016 | |
Reframe Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 2512 Sw Egret Pond Cir, Palm City, FL 34990 Phone: 608-397-4612 | |
Kylee A Brazelton, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 2512 Sw Egret Pond Cir, Palm City, FL 34990 Phone: 608-397-4612 |