Individual
JEFFRY PAUL RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-1959
Mailing address
4380 TEMPLE ST, COCOA, FL 32926-2773
(719) 203-8052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11489
FL
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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