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Organization
MEDICAL NUTRITION THERAPY OF FLORIDA, INC.
Active
Organization
MEDICAL NUTRITION THERAPY OF FLORIDA, INC.
Active
Other names
Medical Nutrition Therapy of FL, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE L TRCALEK RDN, LDN (PRESIDENT)
(904) 724-2043
Entity
Organization
Contact information
Practice address
4237 SALISBURY RD N, STE 314, JACKSONVILLE, FL 32257-8029
(904) 724-2043
(904) 724-2013
Mailing address
4237 SALISBURY RD N, STE 314, JACKSONVILLE, FL 32257-8029
(904) 724-2043
(904) 724-2013
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165968
HEALTHEASE/WELLCARE
FL
Enumeration date
08/24/2006
Last updated
10/27/2014
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