| Maryori Yuldana Tello, RD, LDN, CDM, CFPP | |
|
850 6th Ave S Ste 300, Jacksonville Beach, FL 32250-4256 | |
| (954) 654-1139 | |
| Not Available |
| Full Name | Maryori Yuldana Tello |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 850 6th Ave S Ste 300, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174247928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND8502 (Florida) | Primary |
| Provider Name | Telemedicine Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryori Yuldana Tello, RD, LDN, CDM, CFPP 1103 16th Ave N, Jacksonville Beach, FL 32250-3753 Ph: (954) 654-1139 | Maryori Yuldana Tello, RD, LDN, CDM, CFPP 850 6th Ave S Ste 300, Jacksonville Beach, FL 32250-4256 Ph: (954) 654-1139 |
La Quinn Md Pa Dietitian Medicare: Medicare Enrolled Practice Location: 484 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-595-5980 Fax: 904-595-5985 | |
Lindsey Guthrie, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2380 3rd St S Ste 1, Jacksonville Beach, FL 32250 Phone: 904-270-1234 Fax: 904-513-9268 | |
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