Organization
INDIAN RIVER NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAHALERIS RDN (REGISTERED DIETITIAN)
(321) 544-1228
Entity
Organization
Contact information
Practice address
7060 BRYANT RD, COCOA, FL 32927-2972
(321) 544-1228
Mailing address
7060 BRYANT RD, COCOA, FL 32927-2972
(321) 544-1228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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