Mary E. Curtiss, RD,CDE

Individual provider Active NPI Registered Dietitian · Edgewater, FL

NPI 1992071575 · NPPES record last updated Mar 28, 2012

Key facts

NPI
1992071575
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
ND2570 (FL)
Practice address
104 W. Knapp Ave
Edgewater, FL 32132
Phone
(386) 427-4544
NPI assigned
Mar 28, 2012
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)
Yes

State licenses

LicenseStateTypeSpecialty
ND2570FLMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND2570 FL Yes

Addresses

Primary practice location

104 W. Knapp Ave
Edgewater, FL 32132

Mailing address

104 Spoonbill CT
Daytona Beach, FL 32119-1331
Phone (386) 316-7519

Other providers in Edgewater, FL

All providers in Edgewater, FL · Registered Dietitian in Florida

Sources for this page

Verify at the official NPI Registry.