Individual
MICHELLE CARDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., R.D.
Contact information
Practice address
2000 SW ARCHER RD, GAINESVILLE, FL 32608-1136
(352) 273-9703
Mailing address
PO BOX 100177, GAINESVILLE, FL 32610-0177
(352) 273-9703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JB742Z
MEDICARE PTAN
—
Enumeration date
05/12/2016
Last updated
09/21/2017
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