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Contact Information

LESLIE BERRY, RD
807 CHILDRENS WAY
JACKSONVILLE, FL32207-8426
 Phone: 904-697-3695
 Fax: 302-651-4945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LESLIE BERRY · (Female)

NPI Number 1386032266
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 12/31/2014
Last updated 10/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ND4390
  • FL Medicaid 016602100
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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