Individual
JEREMIAH MICHAEL FARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
2465 US 1 S # 1050, SAINT AUGUSTINE, FL 32086-6076
(626) 201-8945
Mailing address
2465 US 1 S # 1050, SAINT AUGUSTINE, FL 32086-6076
(626) 201-8945
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
06/30/2022
Last updated
10/22/2025
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