DIETITIANS OF PALM VALLEY
NPI 1215572854
Clinic/Center - Health Service in Ponte Vedra, FL

Active since November 07, 2019
230 CANAL BLVD STE 2, PONTE VEDRA, FL 32082(904) 250-0075 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dietitians Of Palm Valley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIETITIANS OF PALM VALLEY (NPI 1215572854) is a healthcare organization registered as a health service in Ponte Vedra, Florida and active in the NPI registry since November 2019. The organization lists Samantha Elise Previte, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1215572854
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameDIETITIANS OF PALM VALLEY
Location Address230 CANAL BLVD STE 2Ponte Vedra, FL 32082-3745
Mailing Address230 Canal Blvd Ste 2Ponte Vedra, FL 32082-3745 · (904) 250-0075
Organization SubpartNo
Authorized OfficialSamantha Elise PreviteCo-owner · (724) 816-5561
Enumeration DateNovember 7, 2019
NPI 1215572854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
230 CANAL BLVD STE 2, Ponte Vedra, FL 32082

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
230 CANAL BLVD STE 2
PONTE VEDRA BEACH, FL 32082
Psychiatry & Neurology (Child & Adolescent Psychiatry)
230 CANAL BLVD STE 2
PONTE VEDRA BEACH, FL 32082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dietitians Of Palm Valley's NPI number?

The NPI number for Dietitians Of Palm Valley is 1215572854. It was assigned to this organization in the NPPES registry on November 7, 2019.

Where is Dietitians Of Palm Valley located?

Dietitians Of Palm Valley is located at 230 Canal Blvd Ste 2, Ponte Vedra, FL 32082. The listed phone number is (904) 250-0075.

What is Dietitians Of Palm Valley's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Dietitians Of Palm Valley was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.