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NPI Code Detail

MEDICARE: MELISSA DANCER RDN

MEDICARE: MELISSA DANCER RDN
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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1962353540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DANCER RDN
Provider Business Mailing Address
First Line : 804 TIMBERVIEW DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-6135
Country : US
Telephone Number : 850-766-0919
Fax Number :
Provider Business Practice Location Address
First Line : 804 TIMBERVIEW DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-6135
Country : US
Telephone Number : 850-766-0919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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