Jamika Dibidad
Individual provider Active NPI Homemaker · Mims, FL
NPI 1750009668 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1750009668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 3642 Parrish Rd
Mims, FL 32754-2512 - Phone
- (407) 723-9814
- Fax
- (321) 334-5090
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | FL | Yes |
Addresses
Primary practice location
3642 Parrish Rd
Mims, FL 32754-2512
Mailing address
3642 Parrish Rd
Mims, FL 32754-2512
Phone (407) 723-9814
Other providers in Mims, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.