Dr Gina Louise De Loretta, RD (REGISTERED DIETI is a
Dietitian, Registered based in Port St. Lucie, Florida. Dr Gina Louise De Loretta is licensed to practice in Florida (license number ND4634) and her current practice location is
12665 Sw Gingerline Drive, Port St. Lucie, Florida. She can be reached at her office (for appointments etc.) via phone at
(240) 320-2672.
NPI number for Dr Gina Louise De Loretta is 1205983970 and her current mailing address is 12665 Sw Gingerline Drive, Port St. Lucie, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205983970.
Healthcare Provider's Profile
| Full Name | Dr Gina Louise De Loretta |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 12665 Sw Gingerline Drive, Port St. Lucie, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205983970
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 03/26/2025
Medical Identifiers
Medical identifiers for Dr Gina Louise De Loretta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205983970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | ND4634 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gina Louise De Loretta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Gina Louise De Loretta, RD (REGISTERED DIETI 12665 Sw Gingerline Drive, Port St. Lucie, FL 34987 Ph: (240) 320-2672 | Dr Gina Louise De Loretta, RD (REGISTERED DIETI 12665 Sw Gingerline Drive, Port St. Lucie, FL 34987 Ph: (240) 320-2672 |
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