Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Nutrition & Wellness Inc

Organization Registered Dietitian · NPI 1467075663

Proactive Nutrition & Wellness Inc is a Registered Dietitian in Edgewater, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Palm Breeze Dr
Edgewater, FL 32141-5901
Phone: (727) 409-0016
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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 number1467075663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Winquist — President · (727) 409-0016
NPI enumeratedMay 21, 2020
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address114 Palm Breeze Dr, Edgewater, FL 32141-5901

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