Bloodworth, Shannon Dawn
Bloodworth, Shannon Dawn is an sole proprietor health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1135. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bloodworth, Shannon Dawn can be contacted via phone (352) 376-1611.Contact Information
Primary practice address
1601 Sw Archer Rd
Gainesville FL 32608-1135
Phone: (352) 376-1611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ND 4778 | Florida |
Profile Details
| NPI number | 1174711154 |
|---|---|
| LBN Legal business name | Bloodworth, Shannon Dawn |
| Credentials | MA, RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Oct 4th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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