Individual
MS. AMY JO GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13000 BRUCE B. DOWNS BLVD, TAMPA, FL 33612
(813) 972-2000
Mailing address
511 W NORTH BAY ST, TAMPA, FL 33603-3405
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 3688
FL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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