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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Registered Dietitian · JACKSONVILLE, FL

Registration Details

NPI Number
1104130848
Provider Type
Organization
NPI Issued
Aug 5, 2010 (15.713346026988 yrs)
Last Updated
Feb 22, 2012
License
ND5439 (FL)

Practice Information

Address
6015 CHESTER CIR STE 106
SUITE 106
JACKSONVILLE, FL, 322172270
Browse FL providers · Browse ZIP 32217
Phone
9044488681
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Organizations in JACKSONVILLE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.