Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Monica Medina-Dobbs, 390200000X

Individual provider Nutrition Education Nutritionist · NPI 1598255655

Monica Medina-Dobbs, 390200000X is a Registered Dietitian OR Nutrition Professional in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

12443 San Jose Blvd Ste 403
Jacksonville, FL 32223-8650
Phone: (904) 413-3360
Fax: (904) 703-7839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 N Indigo Ter, Saint Johns, FL 32259-4465 — (904) 413-3360

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence ND10018 (FL)
Nutrition Education Nutritionist Taxonomy 133NN1002X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598255655
Entity typeIndividual (Type 1)
GenderFemale
Credentials 390200000X
Sole proprietorYes
NPI enumeratedMay 15, 2018
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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