Individual
MELIA AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7038 BAKERSFIELD DR, JACKSONVILLE, FL 32210-1160
(904) 200-5292
Mailing address
7038 BAKERSFIELD DR, JACKSONVILLE, FL 32210-1160
(904) 200-5292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12081
FL
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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