Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phara Inc

Organization Registered Dietitian · NPI 1396075651

Phara Inc is a Registered Dietitian in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 NW Magnolia Lakes Blvd
Port St Lucie, FL 34986-3568
Phone: (617) 461-8503
Fax: (617) 249-1769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND 5606 (FL)

Record details

NPI number1396075651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phara Taylor — Ceo · (617) 461-8503
Other names Medical Nutrition Therapy Works
NPI enumeratedJanuary 10, 2010
Last updated in NPPESFebruary 12, 2010
Mailing address135 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986-3568

Other providers in Port St Lucie