Individual
ANITA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1 UNF DR BLDG 61, JACKSONVILLE, FL 32224-2645
(904) 620-5223
Mailing address
250 ASCEND CIR APT 8203, SAINT JOHNS, FL 32259-4176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13005
FL
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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