Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | CH 5891 | FL |
N | 111NN1001X | Nutrition | CHIRO02706 | GA |
NPI | 1639223118 |
---|---|
Provider Name | Dr. Ellan Schlinger Duke |
First Address | Jacksonville, FL 32216-8930 |
Second Address | Jacksonville, FL 32216-8930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |