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Contact Information

DAISY N WIMAN, ITDS
137 PECKHAM ST SW
PORT CHARLOTTE, FL33952
 Phone: 239-692-5432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for DAISY N WIMAN · (Female)

NPI Number 1831246453
Status Active
Credentials ITDS
Entity Individual
Enumeration date 01/04/2007
Last updated 02/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 101Y00000X
  • FL Medicaid 8117161
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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