Provider Demographics
NPI:1740362680
Name:SLOAN, MARGARET BLUMER (RD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:BLUMER
Last Name:SLOAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 LONGLEAF RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2000
Mailing Address - Country:US
Mailing Address - Phone:850-832-4196
Mailing Address - Fax:850-763-2583
Practice Address - Street 1:2818 LONGLEAF RD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2000
Practice Address - Country:US
Practice Address - Phone:850-832-4196
Practice Address - Fax:850-763-2583
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND0001140133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered