| Indian River Nutrition Services Llc | |
|
7060 Bryant Rd, Cocoa, FL 32927-2972 | |
| (321) 544-1228 | |
| Not Available |
| Full Name | Indian River Nutrition Services Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 7060 Bryant Rd, Cocoa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437955853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Amanda Mahaleris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538964176 PECOS PAC ID: 2264959436 Enrollment ID: I20250513000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Indian River Nutrition Services Llc 7060 Bryant Rd, Cocoa, FL 32927-2972 Ph: (321) 544-1228 | Indian River Nutrition Services Llc 7060 Bryant Rd, Cocoa, FL 32927-2972 Ph: (321) 544-1228 |
Julia D Buck, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6950 Camden Ave, Cocoa, FL 32927 Phone: 760-803-0555 |
Amanda Mahaleris, Dietitian Medicare: Medicare Enrolled Practice Location: 7060 Bryant Rd, Cocoa, FL 32927 Phone: 321-544-1228 |
Stephanie J Woods, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 Robin Hood Dr, Cocoa, FL 32926 Phone: 321-720-3601 Fax: 321-639-7020 |