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Organization
TRACEY ONEILL INC
Active
Organization
TRACEY ONEILL INC
Active
Other names
LIVE WELL WITH FOOD
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ONEILL MBA, FMCHC CANDIDATE (OFFICE MANAGER)
(386) 846-3355
Entity
Organization
Contact information
Practice address
6127 WHITE TIP RD, JACKSONVILLE, FL 32258-3115
(386) 846-3355
Mailing address
6127 WHITE TIP RD, JACKSONVILLE, FL 32258-3115
(386) 846-3355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003201
PA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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