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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

NPI Number 1831246453
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/04/2007
Last updated 02/18/2019 - About 7 years ago
Identifiers
FL License # 101Y00000X
FL Medicaid 8117161
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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