Individual
SIMONE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2959 ALAFAYA TRL STE 121, OVIEDO, FL 32765-9482
(239) 690-6906
Mailing address
3038 PARKWAY BLVD APT 208, KISSIMMEE, FL 34747-4525
(856) 842-4047
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11030796
FL
Other
Enumeration date
05/17/2024
Last updated
09/16/2024
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