Individual
DR. DIANA S MIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 ROWAN RD, NEW PORT RICHEY, FL 34653-5609
(727) 483-5912
Mailing address
4800 ROWAN RD, NEW PORT RICHEY, FL 34653-5609
(727) 483-5912
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME74369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257532900
—
FL
Enumeration date
09/26/2005
Last updated
03/07/2023
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