Healthcare Provider Details

I. General information

NPI: 1851213755
Provider Name (Legal Business Name): WHOLE BERRY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 CREEK PARK DR
DUNEDIN FL
34698-5506
US

IV. Provider business mailing address

1020 CREEK PARK DR
DUNEDIN FL
34698-5506
US

V. Phone/Fax

Practice location:
  • Phone: 636-734-0507
  • Fax:
Mailing address:
  • Phone: 636-734-0507
  • 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: COURTNEY BERRY
Title or Position: REGISTERED DIETITIAN
Credential: MS, RDN, LD
Phone: 636-734-0507