Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mindy Coker Black, MS, RD, CSSD, CPT

Individual provider Registered Dietitian · NPI 1205067303

Mindy Coker Black, MS, RD, CSSD, CPT is a Registered Dietitian in Neptune Beach, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

601 Magnolia St
Neptune Beach, FL 32266-3733
Phone: (904) 673-8329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 917545 (FL)

Record details

NPI number1205067303
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CSSD , CPT
Sole proprietorNo
NPI enumeratedAugust 6, 2009
Last updated in NPPESAugust 6, 2009

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