| Proactive Nutrition & Wellness Inc | |
|
114 Palm Breeze Dr, Edgewater, FL 32141-5901 | |
| (727) 409-0016 | |
| Not Available |
| Full Name | Proactive Nutrition & Wellness Inc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 114 Palm Breeze Dr, Edgewater, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467075663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Nutrition & Wellness Inc 114 Palm Breeze Dr, Edgewater, FL 32141-5901 Ph: (727) 409-0016 | Proactive Nutrition & Wellness Inc 114 Palm Breeze Dr, Edgewater, FL 32141-5901 Ph: (727) 409-0016 |
Stephanie L Stratton-boone, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 W Knapp Ave, Edgewater, FL 32132 Phone: 386-427-4544 Fax: 386-427-8688 |
Kelly Koons, RD, CDE, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 W Knapp Ave, Edgewater, FL 32132 Phone: 386-427-4544 Fax: 386-427-8688 |
Ms. Mary E. Curtiss, RD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 104 W. Knapp Ave, Edgewater, FL 32132 Phone: 386-427-4544 |