Individual
MR. WHITNEY LEO MORRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
619 S MARION AVE, NUTRITION AND FOOD SERVICE (120), LAKE CITY, FL 32025-5808
(386) 755-3016
(386) 745-6312
Mailing address
826 SW AMBERWOOD LOOP, APARTMENT # 102, LAKE CITY, FL 32025-6979
(504) 452-2168
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916707
FL
136A00000X
Registered Dietetic Technician
916707
—
Other
Enumeration date
11/16/2006
Last updated
03/22/2010
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