Organization
TRACEY ONEILL INC
Active
Other names
LIVE WELL WITH FOOD
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ONEILL MBA, FMCHC CANDIDATE (OFFICE MANAGER)
(386) 846-3355
Entity
Organization
Contact information
Practice address
6127 WHITE TIP RD, JACKSONVILLE, FL 32258-3115
(386) 846-3355
Mailing address
6127 WHITE TIP RD, JACKSONVILLE, FL 32258-3115
(386) 846-3355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003201
PA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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