Healthcare Provider Details

I. General information

NPI: 1225959232
Provider Name (Legal Business Name): MARLEY NUTRITION AND WELLNESS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 OCOEE APOPKA RD
APOPKA FL
32703-9263
US

IV. Provider business mailing address

1015 MILDRED DIXON WAY 1015 MILDRED DIXON WAY
WINTER GARDEN FL
34787-2940
US

V. Phone/Fax

Practice location:
  • Phone: 301-254-6899
  • Fax:
Mailing address:
  • Phone: 301-254-6899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: KELEESHA FERRIL-MARLEY
Title or Position: OWNER
Credential: RDN
Phone: 301-254-6899