Individual
MONICA MEDINA-DOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
390200000X
Contact information
Practice address
12443 SAN JOSE BLVD STE 403, JACKSONVILLE, FL 32223-8650
(904) 413-3360
(904) 703-7839
Mailing address
700 N INDIGO TER, ST JOHNS, FL 32259-4465
(904) 413-3360
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND10018
FL
133NN1002X
Nutrition Education Nutritionist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2018
Last updated
01/23/2024
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