Individual
JONATHAN VREDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD,LD/N
Contact information
Practice address
1805 FLAG ST, JACKSONVILLE, FL 32209-5882
(904) 630-0911
Mailing address
1768 OLEANDER PL, JACKSONVILLE, FL 32210-2250
(904) 630-0911
(904) 630-4585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2702
FL
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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