MEDICARE: FOOD & NUTRITION 4 U

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1083293351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOD & NUTRITION 4 U

Provider Business Mailing Address
First Line	:	17000 N BAY RD APT 410
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3699
Country	:	US
Telephone Number	:	786-310-8081
Fax Number	:

Provider Business Practice Location Address
First Line	:	17000 N BAY RD APT 410
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3699
Country	:	US
Telephone Number	:	786-310-8081
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	CLAUDIA PAREJA
Credential	:	RD, LDN, CDCES
Telephone Number	:	786-310-8081

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	04/05/2021

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