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

Purevital Nutrition LLC

Organization Registered Dietitian · NPI 1285598102

Purevital Nutrition LLC is a Registered Dietitian in Jacksonville, 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846
Phone: (904) 763-9722
Fax: (904) 833-3377
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1285598102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mercedes Waugaman — Owner · (904) 763-9722
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address5274 Legacy Pines Way, Jacksonville, FL 32224-4410

Other providers in Jacksonville