Individual
DANIELLE CIMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5198377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5198377
STATE OF FLORIDA, DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
03/27/2019
Last updated
06/11/2019
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