MEDICARE: MEGAN WAKAI RDN, LDN, MPH

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	11139	FL

General Provider Information

NPI Number	:	1659127058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN WAKAI RDN, LDN, MPH

Provider Business Mailing Address
First Line	:	888 S DOUGLAS RD APT 1413
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-7569
Country	:	US
Telephone Number	:	248-909-8084
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 S DOUGLAS RD APT 1413
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-7569
Country	:	US
Telephone Number	:	248-909-8084
Fax Number	:

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

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	04/27/2024

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