Individual
MICHAEL DUBANEWICZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(954) 649-0989
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(954) 649-0989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
097.0134512
VT
101Y00000X
Counselor
NLC.0109761
CO
132700000X
Dietary Manager
328621
FL
133N00000X
Nutritionist
074.0134403
VT
133N00000X
Nutritionist
126925
IA
133N00000X
Nutritionist
13420040-4901
UT
133N00000X
Nutritionist
37003841A
IN
133N00000X
Nutritionist
DH-0000022
DE
133N00000X
Nutritionist
NDP-2023-0038
NM
133N00000X
Nutritionist
NU60822507
WA
133N00000X
Nutritionist
Primary
TPND410
FL
171400000X
Health & Wellness Coach
13123901
FL
175F00000X
Naturopath
5861763
ID
175T00000X
Peer Specialist
P00190
FL
Other
Enumeration date
11/09/2017
Last updated
05/08/2026
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