Organization · Type 2 NPI

Proactive Nutrition & Wellness Inc

Registered Dietitian · Edgewater, FL

NPI number 1467075663 Active

Practice location

114 Palm Breeze Dr
Edgewater, FL 32141-5901

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…

About NPI 1467075663

Proactive Nutrition & Wellness Inc's National Provider Identifier is 1467075663, issued on May 21, 2020. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Edgewater, FL. The record was last updated on May 26, 2026.