MEDICARE: EILEEN S MYERS R.D.

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	001722	TN
2	133V00000X	Registered Dietitian	ND9141	FL
3	133V00000X	Registered Dietitian	1722	TN

General Provider Information

NPI Number	:	1457553729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN S MYERS R.D.

Provider Business Mailing Address
First Line	:	PO BOX 16345
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32035-3123
Country	:	US
Telephone Number	:	615-330-6669
Fax Number	:

Provider Business Practice Location Address
First Line	:	2594 FOREST RIDGE DR APT M-4
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-0407
Country	:	US
Telephone Number	:	615-330-6669
Fax Number	:

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

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	03/04/2019

Similar Medicare Providers

1104972660 — ANDREW K HARRIS DC
Practice Location Address:

175 S NOVA RD STE 6A
ORMOND BEACH, FL
32174-0407

Practice Phone: 386-677-9355
Practice Fax:

1871362145 — ELIZABETH RHODES
Practice Location Address:

395 E 4TH ST UNIT 24
LONG BEACH, CA
90802-0407

Practice Phone: 562-822-2384
Practice Fax:

1740758465 — ANGELA YAVNY PA-C
Practice Location Address:

22371 FLORA PARKE XING
FERNANDINA BEACH, FL
32034-8000

Practice Phone: 904-296-1313
Practice Fax: 904-903-4727

1306781158 — INTEGRATED CARE SUPPORT SVCS NC
Practice Location Address:

96031 BROADMOOR RD
FERNANDINA BEACH, FL
32034

Practice Phone: 704-929-8119
Practice Fax:

1679418420 — ROCKY MOUNTAIN HOLDINGS, LLC
Practice Location Address:

620 AIRPORT RD
FERNANDINA BEACH, FL
32034-0915

Practice Phone: 888-636-4438
Practice Fax:

1235074527 — KRISTY PAVELOCK
Practice Location Address:

96031 BROADMOOR RD
FERNANDINA BEACH, FL
32034

Practice Phone: 704-929-8119
Practice Fax:

Directions to “ EILEEN S MYERS R.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.