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Individual

MS. CHARLOTTE SIMPKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
462 SE FAITH TERRACE, PORT SAINT LUCIE, FL 34983
(772) 985-8277
Mailing address
462 SE FAITH TERRACE, PORT SAINT LUCIE, FL 34983

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
236743
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S512112718770
DRIVER LICENSE
FL
Enumeration date
02/06/2018
Last updated
02/06/2018
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