Melinda Vinson Rudisill, RDN
Dietitian, Registered in West Melbourne, FL. Individual provider (NPI-1).
NPI number1164044814
StatusActive
Last updated in NPPESMay 15, 2020
Details
- NPI
- 1164044814
- Entity type
- Individual (NPI-1)
- Name
- Melinda Vinson Rudisill
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- May 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 8110 | FL | Yes |
Practice location
4105 Norfolk PkwyWest Melbourne, FL 32904-8626
Phone 321-750-7226
Mailing address
3737 Mount Carmel LnMelbourne, FL 32901-6707
Phone 321-750-7226
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