Eleni B Mohr, MS, RDN/LDN

Individual provider Active NPI Registered Dietitian · Patrick Afb, FL

NPI 1942928908 · NPPES record last updated Aug 16, 2022

Key facts

NPI
1942928908
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
ND7885 (FL)
Practice address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone
(321) 494-6357
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND7885FLMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND7885 FL Yes

Addresses

Primary practice location

1381 S Patrick Dr
Patrick Afb, FL 32925-3606

Mailing address

7484 Poulicny LN
Melbourne, FL 32940-7716

Other providers in Patrick Afb, FL

All providers in Patrick Afb, FL · Registered Dietitian in Florida

Sources for this page

Verify at the official NPI Registry.