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Contact Information

JOHN J TIBBETTS
1601 SW ARCHER RD
GAINESVILLE, FL32608-1135
 Phone: 352-379-4057
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Oncology

133VN1301X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JOHN J TIBBETTS · (Male)

NPI Number 1811635493
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2022
Last updated 05/24/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ND6209
  • FL License # ND6279
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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