Healthcare Provider Details

I. General information

NPI: 1134051071
Provider Name (Legal Business Name): MEAGAN COLLEN MURPHY RDN, LDN, CSSD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N BAYSHORE DR APT 4806
MIAMI FL
33132-3026
US

IV. Provider business mailing address

1900 N BAYSHORE DR APT 4806
MIAMI FL
33132-3026
US

V. Phone/Fax

Practice location:
  • Phone: 561-901-5269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License NumberND11281
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: