| NPI | 1609404854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA COOK Dietitian 904-894-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |