Individual
PENNE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY9313
FL
103T00000X
Psychologist
PY9313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65TR3
BCBS
FL
Enumeration date
08/16/2021
Last updated
03/27/2025
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