Provider Demographics
NPI:1861383788
Name:MVNUTRITION CORP
Entity type:Organization
Organization Name:MVNUTRITION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLASCIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-506-1945
Mailing Address - Street 1:3071 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2701
Mailing Address - Country:US
Mailing Address - Phone:786-506-1945
Mailing Address - Fax:
Practice Address - Street 1:2000 S DIXIE HWY STE 206A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2460
Practice Address - Country:US
Practice Address - Phone:786-506-1945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty