Individual
LINDA MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 SE 14TH AVE, GAINESVILLE, FL 32641-0707
(352) 281-1881
Mailing address
1909 SE 14TH AVE, GAINESVILLE, FL 32641-0707
(352) 281-1881
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
235489
FL
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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