Provider Demographics
NPI:1275879280
Name:MENDEL-GOLD, RONIT (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:RONIT
Middle Name:
Last Name:MENDEL-GOLD
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 NE 69TH ST
Mailing Address - Street 2:#504
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-5743
Mailing Address - Country:US
Mailing Address - Phone:786-302-2005
Mailing Address - Fax:
Practice Address - Street 1:780 NE 69TH ST
Practice Address - Street 2:#504
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-5743
Practice Address - Country:US
Practice Address - Phone:786-302-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 6392133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered