Most Relevant Information
Provider Data
| NPI Number: | 1003640244 |
| Provider Name: | MICHAELA SLATNISKE PHD, RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | ND13488 |
Most Important Dates
| Enumeration Date: | 08/29/2024 |
| Last Updated: | 08/29/2024 |
Provider Practice Location
11451 WHITE CAP CT
JACKSONVILLE
FL
322568036
Practice Location Phone/Fax
| Phone: | 9105844011 |
| Fax: |
Provider Mailing Location
11451 WHITE CAP CT
JACKSONVILLE
FL
322568036
Provider Mailing Phone/Fax
| Phone: | 9105844011 |
| Fax: |