Individual
MRS. PHYLLIS FELECIA SIMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2409 WOODY TRACE LN, TAMPA, FL 33612-7122
(813) 505-7150
Mailing address
PO BOX 82831, TAMPA, FL 33682-2831
(813) 505-7150
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675941601
—
FL
05
—
675941696
—
FL
Enumeration date
01/06/2011
Last updated
01/06/2011
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