MEDICARE: TREASURE COAST NUTRITION

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

General Provider Information

NPI Number	:	1316806201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREASURE COAST NUTRITION

Provider Business Mailing Address
First Line	:	963 NW SPRUCE RIDGE DR
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-9569
Country	:	US
Telephone Number	:	772-334-4687
Fax Number	:

Provider Business Practice Location Address
First Line	:	963 NW SPRUCE RIDGE DR
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-9569
Country	:	US
Telephone Number	:	772-334-4687
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	JENNIFER MUZZIN
Credential	:	REGISTERED DIETITIAN
Telephone Number	:	772-334-4687

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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Directions to “TREASURE COAST NUTRITION ” Practice Location

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