| Miami Dietitians Group Inc | |
|
11413 Sw 246th Ter Homestead FL 33032-4655 | |
| (786) 592-1520 | |
| Not Available |
| Full Name | Miami Dietitians Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11413 Sw 246th Ter, Homestead, Florida |
| Authorized Official Name and Position | Maria Eugenia Riccombeni (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7865921520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Dietitians Group Inc 11413 Sw 246th Ter Homestead FL 33032-4655 Ph: (786) 592-1520 | Miami Dietitians Group Inc 11413 Sw 246th Ter Homestead FL 33032-4655 Ph: (786) 592-1520 |
| NPI Number | 1184229841 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 2567874308 |
|---|---|
| Medicare Enrollment ID | O20201218001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184229841 | NPI | - | NPPES |
| 7293 | Other | FL | ND7293 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Maria Eugenia Riccombeni |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558757823 PECOS PAC ID: 9537420930 Enrollment ID: I20180227003025 |
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