Individual
JOHNESHA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 1ST ST, ORLANDO, FL 32824-8236
(689) 331-5930
Mailing address
409 1ST ST, ORLANDO, FL 32824-8236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10040678
OR
163W00000X
Registered Nurse
9598140
FL
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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