Individual
COLLIN PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10446 CARLOWAY HILLS DR, WIMAUMA, FL 33598-6204
(813) 766-4117
Mailing address
10446 CARLOWAY HILLS DR, WIMAUMA, FL 33598-6204
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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