White Koi Wellness - Dietitian in Maitland, FL

White Koi Wellness is a Dietitian, Registered based in Maitland, Florida. White Koi Wellness is licensed to practice in * (Not Available) (license number ) and their current practice location is 1063 Maitland Center Commons Blvd, Maitland, Florida. It can be reached at their office (for appointments etc.) via phone at (941) 284-8497.

NPI number for White Koi Wellness is 1760316186 and their current mailing address is 14420 Quail Trail Ct, Orlando, Florida. White Koi Wellness does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760316186.

Contact Information

White Koi Wellness
1063 Maitland Center Commons Blvd,
Maitland, FL 32751-7436
(941) 284-8497
(407) 544-4023

Map and Direction




Healthcare Provider's Profile

Full NameWhite Koi Wellness
TypeFacility
SpecialityDietitian, Registered
Location1063 Maitland Center Commons Blvd, Maitland, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760316186
  • Provider Enumeration Date: 06/10/2026
  • Last Update Date: 08/25/2026

Medical Identifiers

Medical identifiers for White Koi Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760316186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))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. White Koi Wellness 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 AddressPractice Location Address
White Koi Wellness
14420 Quail Trail Ct,
Orlando, FL 32837-7087

Ph: (941) 284-8497
White Koi Wellness
1063 Maitland Center Commons Blvd,
Maitland, FL 32751-7436

Ph: (941) 284-8497

Reviews and Comments


Dietitian, Registered in Maitland, FL

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.