Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Beau Miller, RD

Individual provider Registered Dietitian · NPI 1679352116

Mr. Beau Miller, RD is a Registered Dietitian OR Nutrition Professional in Lakeland, Florida. Qualified in 1997, 29 years ago. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4842 Highlands Place Dr
Lakeland, FL 33813-2163
Phone: (863) 604-2290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND5749 (FL)

Record details

NPI number1679352116
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address4842 Highlands Place Dr, Lakeland, FL 33813-2163

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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