Organization
SUNSHINE STATE NUTRITION AND WELLNESS, LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE MINER MS, RDN (OWNER)
(407) 630-8290
Entity
Organization
Contact information
Practice address
2230 TAYLOR CREEK CT, KISSIMMEE, FL 34758-2332
(407) 630-8290
(407) 610-6838
Mailing address
2230 TAYLOR CREEK CT, KISSIMMEE, FL 34758-2332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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