Individual
LAUREN SIMARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 VICTORIA ST, BRANDON, FL 33510-4197
(804) 943-3963
Mailing address
314 4TH AVE SW, RUSKIN, FL 33570-4626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
10/22/2020
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