MEDICARE: ELIKA ENGLISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	ND 6799	FL

General Provider Information

NPI Number	:	1003295080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIKA ENGLISH

Provider Business Mailing Address
First Line	:	3839 COUNTY ROAD 218
Second Line	:
City	:	MIDDLEBURG
State	:	FL
Zip	:	32068-5708
Country	:	US
Telephone Number	:	904-282-6331
Fax Number	:	904-282-4117

Provider Business Practice Location Address
First Line	:	10250 NORMANDY BLVD
Second Line	:	STE 802
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-8059
Country	:	US
Telephone Number	:	904-379-7155
Fax Number	:	904-379-7165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2015
Last Update Date	:	06/10/2016

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Directions to “ ELIKA ENGLISH ” Practice Location

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