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

Greenlyfe Nutrition, LLC

Organization Registered Dietitian · NPI 1134884893

Greenlyfe Nutrition, LLC provides Registered Dietitian services in Ponte Vedra Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

312 Osprey Nest Ct
Ponte Vedra Beach, FL 32082-6283
Phone: (508) 963-8537
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1134884893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shoba Balaji — Ceo · (508) 963-8537
NPI enumeratedNovember 7, 2021
Last updated in NPPESNovember 7, 2021
Certification dateNovember 7, 2021
Mailing address312 Osprey Nest Ct, Ponte Vedra Beach, FL 32082-6283

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