Lawrence Michael Mantovani, RD/LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

913763 Issued in FL

Practice address

79 Bronson LN
Palm Coast, FL 32137-8726

Phone

(321) 213-8555

NPI assigned

Aug 11, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1306761226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BRONSON LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BRONSON LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378726",
            "telephone_number": "321-213-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTOVANI",
        "first_name": "LAWRENCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RD/LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "913763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.