Organization
FRUITY VEGGIE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FARELLO (REGISTED DIETITIAN)
(954) 806-2281
Entity
Organization
Contact information
Practice address
3432 W 92ND PL, HIALEAH, FL 33018-2071
(786) 578-7318
Mailing address
3432 W 92ND PL, HIALEAH, FL 33018-2071
(786) 578-7318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640540849040
—
FL
Enumeration date
07/18/2017
Last updated
07/21/2022
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