Individual
JENNIFER ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD/N
Contact information
Practice address
224 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5111
(386) 231-4037
(386) 615-9577
Mailing address
224 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5111
(386) 231-4037
(386) 615-9577
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 6305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
852116
COMMISSION ON DIETETIC REGISTRATION
—
01
—
ND 6305
FLORIDA STATE LICENSE
FL
Enumeration date
07/11/2016
Last updated
07/11/2016
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