Organization
PROACTIVE NUTRITION & WELLNESS INC
Active
Organization
PROACTIVE NUTRITION & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WINQUIST RD/LDN (PRESIDENT)
(727) 409-0016
Entity
Organization
Contact information
Practice address
114 PALM BREEZE DR, EDGEWATER, FL 32141-5901
(727) 409-0016
Mailing address
114 PALM BREEZE DR, EDGEWATER, FL 32141-5901
(727) 409-0016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/26/2026
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