MEDICARE: NOURISHMENT WITH NORA, LLC

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	:	1427999036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOURISHMENT WITH NORA, LLC

Provider Business Mailing Address
First Line	:	6268 W SAMPLE RD UNIT 403-417
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-3272
Country	:	US
Telephone Number	:	954-540-8350
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 N UNIVERSITY DR STE 102
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4636
Country	:	US
Telephone Number	:	561-531-6345
Fax Number	:	561-531-6346

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. NORA IVETTE CRUZ
Credential	:	CRUZ
Telephone Number	:	954-540-8350

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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