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Organization

SIMPAC MEDICAL SERVICE, INC

Active
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Organization

SIMPAC MEDICAL SERVICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUZ PACHECO ARNP (PRESIDENT)
(239) 209-7144
Entity
Organization

Contact information

Practice address
2109 SW 40TH TER, CAPE CORAL, FL 33914-5439
(239) 209-7144
Mailing address
2109 SW 40TH TER, CAPE CORAL, FL 33914-5439
(239) 209-7144

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9176555
FL

Other

Enumeration date
11/10/2012
Last updated
11/10/2012
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