Healthcare Provider Details

I. General information

NPI: 1659291334
Provider Name (Legal Business Name): ROSMERY I FERMIN MS, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 BAYSHORE DR APT 103
FORT PIERCE FL
34949-3002
US

IV. Provider business mailing address

1309 BAYSHORE DR APT 103
FORT PIERCE FL
34949-3002
US

V. Phone/Fax

Practice location:
  • Phone: 954-592-5087
  • Fax:
Mailing address:
  • Phone: 954-592-5087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberND5290
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number962605
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: