MEDICARE: MICHELA C CURTI RD, LD, CLEC

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	133NN1002X	Nutrition Education Nutritionist	883200
2	133V00000X	Registered Dietitian	883200

General Provider Information

NPI Number	:	1164886016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELA C CURTI RD, LD, CLEC

Provider Business Mailing Address
First Line	:	8035 MURANO CIRCLE
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418
Country	:	US
Telephone Number	:	561-372-6071
Fax Number	:

Provider Business Practice Location Address
First Line	:	8035 MURANO CIRCLE
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418
Country	:	US
Telephone Number	:	561-372-6071
Fax Number	:

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

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	04/07/2016

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