Shannon Dawn Bloodworth in Gainesville - Dietitian, Registered

Shannon Dawn Bloodworth - NPI 1174711154

Shannon Dawn Bloodworth is a Dietitian, Registered in Gainesville, Florida. Shannon Dawn Bloodworth practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Shannon Dawn Bloodworth is 1174711154. The last update date is 2007-10-04.

Shannon Dawn Bloodworth's current location address is 1601 Sw Archer Rd, Gainesville, Florida. You can contact this provider via phone number 3523761611. The mailing address for Shannon Dawn Bloodworth is 1601 Sw Archer Rd, Gainesville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Dawn Bloodworth
Address 1601 Sw Archer Rd, Gainesville, Florida
Phone Number 3523761611
Fax Number
Sole Proprietor Y
Credentials MA, RD, LD

NPI Number Detail

NPI Number 1174711154
Provider Enumeration Date 2007-10-04
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address 1601 Sw Archer Rd
City Gainesville
State Florida (FL)
Post Code 326081135
Phone Number 3523761611
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No ND 4778
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Shannon Dawn Bloodworth

What is the unique 10-digit identifier code issued to Shannon Dawn Bloodworth by the Centers for Medicare & Medicaid Services?

The Shannon Dawn Bloodworth has been assigned the NPI (National Provider Identifier) 1174711154 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Shannon Dawn Bloodworth's facilities are situated?

The facilities of Shannon Dawn Bloodworth are physically located at the following address: 1601 Sw Archer Rd, Gainesville, FL, 326081135.

What is Shannon Dawn Bloodworth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shannon Dawn Bloodworth is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.

On what date was the 1174711154 assigned to Shannon Dawn Bloodworth?

The Shannon Dawn Bloodworth was issued its 1174711154 on 2007-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Shannon Dawn Bloodworth most recently updated or revised?

The information pertaining to Shannon Dawn Bloodworth, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-04.

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