Individual
LESLIE REID IODICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, L/DN
Contact information
Practice address
2092 SARNO RD, MELBOURNE, FL 32935-3077
(321) 255-9800
(321) 751-1145
Mailing address
4470 COUNTRY RD, MELBOURNE, FL 32934-8467
(321) 255-9800
(321) 751-1145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1113
FL
Other
Enumeration date
05/04/2011
Last updated
12/05/2011
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