MEDICARE: BRITTANY MOREIRA RDN, LDN

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	ND10743	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	:	1033873310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MOREIRA RDN, LDN

Provider Business Mailing Address
First Line	:	610 E ZACK ST STE 110-4087
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3972
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 E ZACK ST STE 110-4087
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3972
Country	:	US
Telephone Number	:	813-699-3308
Fax Number	:

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

Provider Enumeration Date	:	10/24/2021
Last Update Date	:	07/21/2025

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