Individual
ELLEN M. HOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
1201 5TH AVE NORTH, STE 302, ST PETERSBURG, FL 33705-1457
(727) 821-2388
(727) 821-6887
Mailing address
1201 5TH AVE NORTH, STE 302, ST PETERSBURG, FL 33705-1457
(727) 821-2388
(727) 821-6887
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0187
BLUE SHIELD OF FLORIDA
FL
01
—
P00126506
RAILROAD RETIREMENT MEDIC
—
Enumeration date
11/29/2005
Last updated
11/05/2013
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