# MIMS SITTER SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679017339
- **Authorized official:** MISS MARY LOUISE MIMS I (EMPLOYEE)
- **Authorized official phone:** (727) 322-3644

## Contact information

- **Practice address:** 2129 UPTON CT S, ST PETERSBURG, FL 33712-3145
- **Practice address phone:** (727) 322-3644
- **Mailing address:** 2129 UPTON CT S, ST PETERSBURG, FL 33712-3145
- **Mailing address phone:** (727) 322-3644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | N16000011186 | FL | Yes |

## Other

- **Enumeration date:** 12/14/2016
- **Last updated:** 12/14/2016