FERNANDE SIMEON


Address: 6490 Nw 55th St, Coral Springs, FL 33067-2710
Phone: 9542451117

FERNANDE SIMEON (NPI# 1598365165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598365165
Entity Type Individual
Full Name FERNANDE SIMEON
Practice Address 6490 Nw 55th St
Coral Springs
FL 33067-2710
Practice Telephone 9542451117
Mailing Telephone 9542451117
Enumeration Date 2020-10-31
Last Update Date 2020-10-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
F10200732 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
N/A 00000000 01

Office Location

Street Address 6490 NW 55TH ST
City CORAL SPRINGS
State FL
Zip Code 33067-2710

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City CORAL SPRINGS
Zip Code 33067

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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