Individual provider · Type 1 NPI

Michael Dubanewicz Jr.

Nutritionist · St. Petersburg, FL

NPI number 1770096059 Active

Practice location

7901 4th St N Ste 300
St. Petersburg, FL 33702-4399

Call (954) 649-0989 Map

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000XDH-0000022 (DE)
Counselor 101Y00000XNLC.0109761 (CO)
Dietary Manager 132700000X328621 (FL)
Nutritionist Primary 133N00000XTPND410 (FL)
Nutritionist 133N00000XNU60822507 (WA)
Nutritionist 133N00000X37003841A (IN)
Nutritionist 133N00000X126925 (IA)
Nutritionist 133N00000X074.0134403 (VT)
Nutritionist 133N00000XNDP-2023-0038 (NM)
Counselor 101Y00000X097.0134512 (VT)
Health & Wellness Coach 171400000X13123901 (FL)
Naturopath 175F00000X5861763 (ID)
Peer Specialist 175T00000XP00190 (FL)
Nutritionist 133N00000X13420040-4901 (UT)

Nutritionist: A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or grad…

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About NPI 1770096059

Michael Dubanewicz Jr.'s National Provider Identifier is 1770096059, issued on Nov 9, 2017. The primary taxonomy on file is Nutritionist (133N00000X), and the practice location is in St. Petersburg, FL. The record was last updated on May 8, 2026.