Individual
MRS. SHANA JACOBY AMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2000 SW ARCHER RD, GAINESVILLE, FL 32608-1136
(352) 265-0111
Mailing address
1600 SW ARCHER RD, BOX 100325, GAINESVILLE, FL 32610-3003
(352) 265-0111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3783
FL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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