Organization · Type 2 NPI

Mind Soma Wellness LLC

Registered Dietitian · St. Petersburg, FL

NPI number 1740103043 Active

Practice location

5040 14th Ave N
St. Petersburg, FL 33710-6023

Call (813) 803-5996 Map

Mailing address

3110 1st Ave N Ste 2M
St. Petersburg, FL 33713-8637

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 1740103043

Mind Soma Wellness LLC's National Provider Identifier is 1740103043, issued on Aug 3, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 3, 2026.