Bohannon, Mary H

Bohannon, Mary H is an sole proprietor health care provider with primary practice located at 4001 Newberry Rd Suite C Iv, Gainesville FL 32607. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bohannon, Mary H can be contacted via phone (352) 374-4449.

Contact Information

Primary practice address
4001 Newberry Rd Suite C Iv Gainesville FL 32607
Phone: (352) 374-4449
Fax: (352) 374-4464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND00000297 Florida

Profile Details

NPI number 1518187749
LBN Legal business name Bohannon, Mary H
Credentials RD LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2007
Last updated Jul 20th, 2011 - about 14 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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