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Organization

BARIWELL LIFESTYLE, LLC

Active
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Organization

BARIWELL LIFESTYLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GINA ROSENBERG RD (DIETITIAN)
(954) 829-8822
Entity
Organization

Contact information

Practice address
2775 DAMPIER DR, MELBOURNE, FL 32940-5600
(954) 829-8822
Mailing address
130 CORRIDOR RD UNIT 704, PONTE VEDRA, FL 32004-7729
(954) 829-8822

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—

Other

Enumeration date
01/23/2024
Last updated
06/22/2026
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