MEDICARE: DANIELA ALESSANDRA SAFINA VACCARO RD, 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	ND7329	FL

General Provider Information

NPI Number	:	1326788746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA ALESSANDRA SAFINA VACCARO RD, LDN

Provider Business Mailing Address
First Line	:	4100 SALZEDO ST APT 708
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-1754
Country	:	US
Telephone Number	:	305-877-4002
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 SALZEDO ST STE 10
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-1751
Country	:	US
Telephone Number	:	786-308-7717
Fax Number	:

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

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	04/01/2022

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