Individual
DIANE ELISE DEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
8725 N WICKHAM RD, VIERA HOSPITAL MEDICAL PLAZA, VIERA, FL 32940-2239
(321) 434-9506
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O7103
MEDICARE HF
FL
Enumeration date
12/01/2006
Last updated
05/06/2022
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