Mimms, Diana S
Mimms, Diana S is an individual health care provider with primary practice located at 4800 Rowan Rd , New Port Richey FL 34653-5609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mimms, Diana S can be contacted via phone (727) 483-5912.Contact Information
Primary practice address
4800 Rowan Rd
New Port Richey FL 34653-5609
Phone: (727) 483-5912
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME74369 | Florida |
Profile Details
| NPI number | 1619963501 |
|---|---|
| LBN Legal business name | Mimms, Diana S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619963501 | NPPES |
| Florida | MEDICAID | 257532900 |
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