Provider Demographics
NPI:1760272959
Name:SALAMONE, LEIGH ANN (RDN)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:SALAMONE
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ANN
Other - Last Name:MCKINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2106 16TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3182
Mailing Address - Country:US
Mailing Address - Phone:772-475-2279
Mailing Address - Fax:
Practice Address - Street 1:2106 16TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3182
Practice Address - Country:US
Practice Address - Phone:772-475-2279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND14280133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered