Individual
BARRY COLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-1000
Mailing address
12708 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4739
(606) 471-0304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12971
FL
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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