Organization
MEDICAL NUTRITION THERAPY OF FLORIDA, INC.
Active
Other names
Medical Nutrition Therapy of FL, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE L TRCALEK RDN, LDN (PRESIDENT)
(904) 724-2043
Entity
Organization
Contact information
Practice address
4237 SALISBURY RD N, STE 314, JACKSONVILLE, FL 32257-8029
(904) 724-2043
(904) 724-2013
Mailing address
4237 SALISBURY RD N, STE 314, JACKSONVILLE, FL 32257-8029
(904) 724-2043
(904) 724-2013
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165968
HEALTHEASE/WELLCARE
FL
Enumeration date
08/24/2006
Last updated
10/27/2014
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