Individual
MICHELE NICOLE BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
5153 N 9TH AVE, PEDS OFFICE BLDG, PENSACOLA, FL 32504-8785
(850) 416-1026
(850) 416-1891
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND8501
FL
Other
Enumeration date
01/15/2021
Last updated
04/20/2021
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