Provider Demographics
NPI:1205853934
Name:SEMELKA, JOY (RD, CDE)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:SEMELKA
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6620
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-6620
Mailing Address - Country:US
Mailing Address - Phone:352-291-5055
Mailing Address - Fax:352-291-5020
Practice Address - Street 1:2102 SW 20TH PL
Practice Address - Street 2:BLDG 200, SUITE 202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0861
Practice Address - Country:US
Practice Address - Phone:352-291-5055
Practice Address - Fax:352-291-5020
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 409133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL297595OtherAVMED VENDOR NUMBER
FL297595OtherAVMED VENDOR NUMBER