Ms Daisy Nichole Wiman, ITDS is a
Early Intervention Provider Agency based in Port Charlotte, Florida. Ms Daisy Nichole Wiman is licensed to practice in Florida (license number ) and her current practice location is
137 Peckham St Sw, Port Charlotte, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 692-5432.
NPI number for Ms Daisy Nichole Wiman is 1831246453 and her current mailing address is 137 Peckham St Sw, Port Charlotte, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831246453.
Healthcare Provider's Profile
Full Name | Ms Daisy Nichole Wiman |
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Gender | Female |
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Speciality | Early Intervention Provider Agency |
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Location | 137 Peckham St Sw, Port Charlotte, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831246453
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 02/18/2019
Medical Identifiers
Medical identifiers for Ms Daisy Nichole Wiman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831246453 | NPI | - | NPPES |
8117161 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 101Y00000X (Florida) | Secondary |
252Y00000X | Early Intervention Provider Agency | (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Daisy Nichole Wiman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Daisy Nichole Wiman, ITDS 137 Peckham St Sw, Port Charlotte, FL 33952-9136 Ph: (239) 692-5432 | Ms Daisy Nichole Wiman, ITDS 137 Peckham St Sw, Port Charlotte, FL 33952 Ph: (239) 692-5432 |
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