Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Innovative Nutrition and Wellness Consulting, LLC

Organization Registered Dietitian · NPI 1467005504

Innovative Nutrition and Wellness Consulting, LLC is a Registered Dietitian in Daytona Beach, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1259 S Beach St Apt 1105
Daytona Beach, FL 32114-6328
Phone: (386) 527-9178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1467005504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Buckley — Owner, Dietitian · (386) 527-9178
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 18, 2019
Mailing address1259 S Beach St Apt 1105, Daytona Beach, FL 32114-6328

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