Individual
ALEXA SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSSD
Contact information
Practice address
1ST SPECIAL OPERATIONS MEDICAL GROUP, HURLBURT, FL 32544
(850) 641-2337
Mailing address
1ST SPECIAL OPERATIONS MEDICAL GROUP, HURLBURT, FL 32544
(850) 641-2337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000003063
TN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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