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

Tracey L O'Neill LLC

Organization Registered Dietitian · NPI 1629725312

Tracey L O'Neill LLC is a Registered Dietitian in Ponte Vedra Beach, Florida. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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

500 Canal Rd
Ponte Vedra Beach, FL 32082-4300
Phone: (904) 535-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 York Rd Ste 800, Lutherville, MD 21093-6011 — (904) 535-6901

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1629725312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey O'Neill — Licensed Dietitian Nutritionist · (904) 535-6901
Other names Longevity Functional Wellness; Longevity Functional Wellness
NPI enumeratedMarch 3, 2022
Last updated in NPPESApril 5, 2023
Certification dateMarch 24, 2023
Mailing address500 Canal Rd, Ponte Vedra Beach, FL 32082-4300

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