Individual
MR. JOHN DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD,CSR,LD
Contact information
Practice address
123 SANDCASTLE DR, ORMOND BEACH, FL 32176-4156
(386) 441-2090
Mailing address
123 SANDCASTLE DR, ORMOND BEACH, FL 32176-4156
(386) 441-2090
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND 2189
FL
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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