Individual
DIANA M NIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45311
KY
207Q00000X
Family Medicine Physician
Primary
ME149259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100177500
—
KY
Enumeration date
06/23/2010
Last updated
05/26/2021
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