Provider Demographics
NPI:1447130463
Name:MARANGES, ALYSSA (RD, LDN, CPT)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:MARANGES
Suffix:
Gender:F
Credentials:RD, LDN, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 MAIN ST APT 1729
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2325
Mailing Address - Country:US
Mailing Address - Phone:954-610-1657
Mailing Address - Fax:
Practice Address - Street 1:6600 MAIN ST APT 1729
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2325
Practice Address - Country:US
Practice Address - Phone:954-610-1657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered