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

Michael Dubanewicz Jr.

Individual provider Nutritionist · NPI 1770096059

Michael Dubanewicz Jr. is a Nutritionist in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Colorado, Delaware, Florida and Iowa and 6 more.

Licensed in
CO, DE, FL, IA, ID, IN
In the registry since
2017
Specialties on file
14

Practice location Address checks out

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone: (954) 649-0989
Show map & directions

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

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence TPND410 (FL)
Nutritionist Taxonomy 133N00000X · Licence DH-0000022 (DE)
Counselor Taxonomy 101Y00000X · Licence NLC.0109761 (CO)
Dietary Manager Taxonomy 132700000X · Licence 328621 (FL)
Nutritionist Taxonomy 133N00000X · Licence NU60822507 (WA)
Nutritionist Taxonomy 133N00000X · Licence 37003841A (IN)
Nutritionist Taxonomy 133N00000X · Licence 126925 (IA)
Nutritionist Taxonomy 133N00000X · Licence 074.0134403 (VT)
Nutritionist Taxonomy 133N00000X · Licence NDP-2023-0038 (NM)
Counselor Taxonomy 101Y00000X · Licence 097.0134512 (VT)
Health & Wellness Coach Taxonomy 171400000X · Licence 13123901 (FL)
Naturopath Taxonomy 175F00000X · Licence 5861763 (ID)
Peer Specialist Taxonomy 175T00000X · Licence P00190 (FL)
Nutritionist Taxonomy 133N00000X · Licence 13420040-4901 (UT)

Record details

NPI number1770096059
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2017
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address7901 4th St N Ste 300, St Petersburg, FL 33702-4399

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