Individual
MS. DOREEN MARIE DIMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
609 HUNTERS RUN BLVD, LAKELAND, FL 33809-8328
(863) 853-3031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 3882
FL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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