MEDICARE: TANIA LUIZA KOERBER RD, CSP, LD/N

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	133N00000X	Nutritionist
2	133VN1004X	Pediatric Nutrition Registered Dietitian	ND 3428	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487953758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA LUIZA KOERBER RD, CSP, LD/N

Provider Business Mailing Address
First Line	:	4270 GARDENIA DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5435
Country	:	US
Telephone Number	:	561-313-9193
Fax Number	:

Provider Business Practice Location Address
First Line	:	4270 GARDENIA DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5435
Country	:	US
Telephone Number	:	561-313-9193
Fax Number	:

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

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	10/29/2025

Similar Medicare Providers

1609864925 — EDUARDO PARRA-DAVILA M.D.
Practice Location Address:

1309 N. FLAGLER DRIVE
WEST PALM BEACH, FL
33401-5435

Practice Phone: 561-882-4541
Practice Fax: 561-650-6093

1184691446 — HARRY'S MOBILE DISTRIBUTOR OF MEDICAL EQUIP
Practice Location Address:

4661 HAYGOOD RD , 109
VIRGINIA BEACH, VA
23455-5435

Practice Phone: 757-460-0883
Practice Fax: 757-460-0727

1467593483 — DR. CAROL MESSMORE LMFT
Practice Location Address:

75 NE 6TH AVE , SUITE 218-B
DELRAY BEACH, FL
33483-5435

Practice Phone: 561-843-1058
Practice Fax: 561-243-1828

1629254818 — COASTAL PAIN MANAGEMENT DELRAY DISPENSARY
Practice Location Address:

75 NE 6TH AVE , SUITE #104
DELRAY BEACH, FL
33483-5435

Practice Phone: 561-272-3880
Practice Fax:

1407000912 — COLLEEN A BUTLER A.P.
Practice Location Address:

75 NE 6TH AVE , SUITE 202
DELRAY BEACH, FL
33483-5435

Practice Phone: 561-276-3388
Practice Fax: 561-276-3311

1790255149 — MARY JUDITH WEAVER M.S. ED.
Practice Location Address:

1716 GREY FRIARS CHASE
VIRGINIA BEACH, VA
23456-5435

Practice Phone: 757-648-3640
Practice Fax:

Directions to “ TANIA LUIZA KOERBER RD, CSP, LD/N” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.