Individual
MR. BEAU MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4842 HIGHLANDS PLACE DR, LAKELAND, FL 33813-2163
(863) 604-2290
Mailing address
4842 HIGHLANDS PLACE DR, LAKELAND, FL 33813-2163
(863) 604-2290
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5749
FL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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