MEDICARE: LESLIE ELENA TUCCI RD

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	ND11038	FL

General Provider Information

NPI Number	:	1336092238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE ELENA TUCCI RD

Provider Business Mailing Address
First Line	:	1035 KEY LARGO ST
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-8275
Country	:	US
Telephone Number	:	408-930-8199
Fax Number	:	561-425-8211

Provider Business Practice Location Address
First Line	:	560 VILLAGE BLVD STE 365
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1984
Country	:	US
Telephone Number	:	561-293-4677
Fax Number	:	561-425-8211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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