Doctor Name: | MS. ANITA A MARTIN |
NPI Number: | 1518904028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LD/N |
License Number: | ND0000005 |
Business Practice Address: | 900 University Blvd N Jacksonville, FL - 322119203 |
Business Phone Number: | 9046652292 |
Business Fax Number: | 9047453099 |
Mailing Address: | 515 W 6th St, Mc #24 JACKSONVILLE |
State: | FL |
Postal Code: | 322064324 |
Phone Number: | 9046652410 |
Fax Number: | 9046303316 |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND0000005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |