Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SEASIDE NUTRITION LLC
Active
Organization
SEASIDE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI BOMARITO RD, LD/N (OWNER)
(904) 540-2503
Entity
Organization
Contact information
Practice address
133 MOHEGAN RD, ST AUGUSTINE, FL 32086-6023
(904) 540-2503
Mailing address
PO BOX 1568, SAINT AUGUSTINE, FL 32085-1568
(904) 540-2503
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND7315
FL
133V00000X
Registered Dietitian
Primary
86032198
FL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up