Individual
HEATHER MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD/N
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-0039
Mailing address
507 4TH ST N, JACKSONVILLE BEACH, FL 32250-5607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6680
FL
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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