Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Innovative Nutrition and Wellness Consulting, LLC

Organization Registered Dietitian · NPI 1467005504

Innovative Nutrition and Wellness Consulting, LLC provides Registered Dietitian services in Daytona Beach, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

1259 S Beach St Apt 1105
Daytona Beach, FL 32114-6328
Phone: (386) 527-9178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1467005504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Buckley — Owner, Dietitian · (386) 527-9178
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 18, 2019
Mailing address1259 S Beach St Apt 1105, Daytona Beach, FL 32114-6328

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