| Waiki Vicky Cora, RD | |
|
8270 Woodland Center Blvd, Tampa, FL 33614-2401 | |
| (305) 449-9219 | |
| (515) 864-0259 |
| Full Name | Waiki Vicky Cora |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 8270 Woodland Center Blvd, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356513865 | NPI | - | NPPES |
| 933602 | Other | HI | CDR CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND10389 (Florida) | Primary |
| 133V00000X | Dietitian, Registered | LD1583 (New Mexico) | Secondary |
| Provider Name | San Juan Regional Medical Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Waiki Vicky Cora, RD 317 6th Ave Ste 400, Des Moines, IA 50309-4108 Ph: () - | Waiki Vicky Cora, RD 8270 Woodland Center Blvd, Tampa, FL 33614-2401 Ph: (305) 449-9219 |
Islena Luceth Keyes, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Mariel Sarah Gossett, MS, RDN, LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15701 Country Lake Dr, Tampa, FL 33624 Phone: 334-758-8610 | |
Mrs. Kerry Anne Hensel, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Jane Norman, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 12901 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-974-2201 | |
Corina Clavo Mclamore, MPH, RDN, LD/N, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 13330 Usf Laurel Dr, Diabetes Center, Tampa, FL 33612 Phone: 813-974-2201 | |
Ashley N Tweddle, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5432 W Tyson Ave Unit 1210, Tampa, FL 33611 Phone: 404-889-5267 | |
Gina Skaronea, RD, LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2605 W Swann Ave, Suite 100, Tampa, FL 33609 Phone: 813-874-5500 |