Provider Demographics
NPI:1225347289
Name:WILHOIT, AMBER BLAND (RD, LD, NSCA-CPT)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:BLAND
Last Name:WILHOIT
Suffix:
Gender:F
Credentials:RD, LD, NSCA-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SW ARCHER RD
Mailing Address - Street 2:DIABETES CENTER OF EXCELLENCE, MEDICAL PLAZA
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1136
Mailing Address - Country:US
Mailing Address - Phone:352-265-0680
Mailing Address - Fax:352-265-8425
Practice Address - Street 1:2000 SW ARCHER RD
Practice Address - Street 2:DIABETES CENTER OF EXCELLENCE, MEDICAL PLAZA
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1136
Practice Address - Country:US
Practice Address - Phone:352-265-0680
Practice Address - Fax:352-265-8425
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4993133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered