IndividualActive
John Dodd, RD,CSR,LD
NPI 1609189059 · Renal Nutrition Registered Dietitian · Ormond Beach, FL
Provider details
- NPI number
- 1609189059
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD,CSR,LD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ND 2189 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
123 Sandcastle Dr
Ormond Beach, FL 32176-4156
Phone: (386) 441-2090
Approximate (ZIP-level) locationGet directions
Mailing address
123 Sandcastle Dr
Ormond Beach, FL 32176-4156
Registry dates
- Enumerated
- 2010-07-14
- Last updated
- 2010-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.