Individual
CARRIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5153 N 9TH AVE STE 5G, PENSACOLA, FL 32504-8785
(850) 416-2117
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND11513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117627600
—
FL
Enumeration date
05/14/2010
Last updated
10/04/2024
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