IndividualActive
Alicia Blong, RD
NPI 1003591694 · Registered Dietitian · Jacksonville, FL
Provider details
- NPI number
- 1003591694
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- ND12127 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Approximate (ZIP-level) locationGet directions
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Registry dates
- Enumerated
- 2023-06-20
- Last updated
- 2023-06-28
- Certified
- 2023-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.