Individual
LISA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4203 BELFORT RD STE 204, JACKSONVILLE, FL 32216-1463
(904) 450-6860
(904) 308-8699
Mailing address
4203 BELFORT RD STE 204, JACKSONVILLE, FL 32216-1463
(904) 450-6860
(904) 308-8699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5086
FL
Other
Enumeration date
09/25/2008
Last updated
04/13/2026
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