Organization · Type 2 NPI

Purevital Nutrition LLC

Registered Dietitian · Jacksonville, FL

NPI number 1285598102 Active

Practice location

10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846

Call (904) 763-9722 Map

Fax (904) 833-3377

Mailing address

5274 Legacy Pines Way
Jacksonville, FL 32224-4410

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1285598102

Purevital Nutrition LLC's National Provider Identifier is 1285598102, issued on Dec 15, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 15, 2025.