Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Proactive Plates LLC

Organization Registered Dietitian · NPI 1053286740

Proactive Plates LLC provides Registered Dietitian services in Cape Coral, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

1322 SE 46th Ln Ste 201
Cape Coral, FL 33904-8642
Phone: (239) 284-4906
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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 number1053286740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Derwick — Ceo · (239) 284-4906
NPI enumeratedOctober 10, 2025
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026
Mailing address119 Se 39th St, Cape Coral, FL 33904-8338

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