MS. DELORES M PROCTOR (NPI# 1780646463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780646463 |
| Entity Type | Individual |
| Full Name | MS. DELORES M PROCTOR |
| Credential | DIETICIAN |
| Practice Address |
1255 Lila St Ufjp Family Medicine Jacksonville FL 32208-3550 |
| Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9042445700 |
| Practice Fax Number | 9042445971 |
| Mailing Telephone | 9042443199 |
| Mailing Fax Number | 9042443425 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
ND2986 | FL | Dietary & Nutritional Service Providers |
| Street Address |
1255 LILA ST UFJP FAMILY MEDICINE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824325 | Donald Howard Auerbach | Family Medicine | 1255 Lila St, Jacksonville, FL 32208-3550 | 2005-07-12 |
| 1922652874 | Charlotte Bedsole | Nurse Practitioner | 1255 Lila St, Jacksonville, FL 32208-3550 | 2019-07-30 |
| 1306222419 | Lavern Webster-dowell | Nurse Practitioner | 1255 Lila St, Jacksonville, FL 32208-3550 | 2015-07-31 |
| 1700223195 | Heather Vogel Williams | Family Medicine | 1255 Lila St, Jacksonville, FL 32208-3550 | 2013-05-27 |
| 1144523739 | Marcio Correa | Physician Assistant | 1255 Lila St, Ufjax - Family Medicine @ Lem Turner, Jacksonville, FL 32208-3550 | 2010-12-21 |
| 1316191745 | Cornelia M. Mccullough | Nurse Practitioner | 1255 Lila St, Ufjax - Lem Turner Family Medicine, Jacksonville, FL 32208-3550 | 2008-11-12 |
| 1487814752 | University of Florida Jacksonville Physicians Inc | Family Medicine | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2008-06-11 |
| 1992864953 | Coreen Morehouse Rogerson | Social Worker | 1255 Lila St, Ch Family Medicine Center/ufjhi, Jacksonville, FL 32208-3550 | 2006-12-06 |
| 1134189772 | Leonard Jay Herring | Physician Assistant | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2006-03-27 |
| 1356301097 | John Anthony Grisnik | Family Medicine | 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550 | 2006-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925176 | Dgroup Consulting Services Inc. | Nutritionist | 1650 Margaret St, Ste 302 Pmb 342, Jacksonville, FL 32204-3868 | 2010-06-23 |
| 1407494875 | Kristina Worthington | Nutritionist | 4555 Emerson St, Jacksonville, FL 32207-4966 | 2019-12-17 |
| 1851819866 | Janine Rose Dray-daris | Nutritionist | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596042 | Carmen Felicia Fernandez | Nutritionist | 8871 Sw 41st St, Miami, FL 33165-5434 | 2020-10-19 |
| 1952908204 | Kimberly Mezzetti | Nutritionist | 22371 Sea Bass Dr, Boca Raton, FL 33428-4616 | 2020-10-08 |
| 1578187415 | Allison Kieves | Nutritionist | 9430 Lago Dr, Boynton Beach, FL 33472-2752 | 2020-06-06 |
| 1447872122 | Home Doctor Network, LLC | Nutritionist | 5260 78th Ave N Unit 1562, Pinellas Park, FL 33780-8062 | 2020-05-15 |
| 1689211773 | Rebeca Stevenson | Nutritionist | 1821 Ne 62nd St, Fort Lauderdale, FL 33308-2184 | 2019-12-08 |
| 1902443187 | Shadia Hamadeh | Nutritionist | 9596 Lake Serena Dr, Boca Raton, FL 33496-6517 | 2019-12-05 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1699289132 | Urenu LLC | Nutritionist | 2412 Winchester Blvd, Kissimmee, FL 34743-3627 | 2017-11-20 |
| 1023520913 | Chelsea Carr | Nutritionist | 3515 Village Blvd Apt 402, West Palm Beach, FL 33409-7440 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
Please comment or provide details below to improve the information on MS. DELORES M PROCTOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.