MEDICARE: SMART MOUTH NUTRITION 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	:	1881442614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMART MOUTH NUTRITION LLC

Provider Business Mailing Address
First Line	:	238 THORNTON LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3066
Country	:	US
Telephone Number	:	407-649-0351
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 THORNTON LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3066
Country	:	US
Telephone Number	:	407-649-0351
Fax Number	:

Authorized Official
Title or Position	:	RD
Name	:	GABRIELLE TAFUR
Credential	:	RD
Telephone Number	:	76-490-3514

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	05/07/2024

Similar Medicare Providers

1467080408 — MRS. GABRIELLE MARIE MANCELLA RD/LDN
Practice Location Address:

238 THORNTON LN
ORLANDO, FL
32801-3066

Practice Phone: 407-719-0743
Practice Fax:

1073920542 — CHRYSTAL BOYCE
Practice Location Address:

411 LEFT 3 LICK RD
ORLANDO, WV
26412-3066

Practice Phone: 304-692-1565
Practice Fax:

1871460162 — RADIANT LIFE GROUP HOMES, LLC
Practice Location Address:

2852 HICKORY CREEK DR
ORLANDO, FL
32818-3066

Practice Phone: 352-386-6482
Practice Fax:

1770041824 — MRS. STEPHANIE T MCCANN FNP
Practice Location Address:

111 N ORANGE AVE STE 800
ORLANDO, FL
32801-2381

Practice Phone: 888-731-8994
Practice Fax:

1265957088 — BRIAN HARRIS LMHC
Practice Location Address:

200 E ROBINSON ST STE 425
ORLANDO, FL
32801-4347

Practice Phone: 833-769-3524
Practice Fax: 407-583-4988

1326914557 — AMORE ENCHANTED HOMECARE AGENCY LLC
Practice Location Address:

189 S ORANGE AVE
ORLANDO, FL
32801-3254

Practice Phone: 470-300-9051
Practice Fax:

Directions to “SMART MOUTH NUTRITION LLC ” 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.