Doreen Marie Dimillo, R.D.
Dietitian, Registered in Lakeland, FL. Individual provider (NPI-1).
NPI number1285852376
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285852376
- Entity type
- Individual (NPI-1)
- Name
- Ms. Doreen Marie Dimillo
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND 3882 | FL | Yes |
Practice location
1324 Lakeland Hills BlvdLakeland, FL 33805-4543
Phone 863-687-1100
Mailing address
609 Hunters Run BlvdLakeland, FL 33809-8328
Phone 863-853-3031
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