Esmailzadeh, Jade

Esmailzadeh, Jade is an individual health care provider with primary practice located at 1223 Atlas Ave , Patrick Afb FL 32925-3406. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Esmailzadeh, Jade can be contacted via phone (321) 494-2660.

Contact Information

Primary practice address
1223 Atlas Ave Patrick Afb FL 32925-3406
Phone: (321) 494-2660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND6630 Florida

Profile Details

NPI number 1366831851
LBN Legal business name Esmailzadeh, Jade
Credentials R.D., LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2015
Last updated Jan 21st, 2015 - about 9 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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