Individual
JOAN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 RIVERDALE DR N, MIRAMAR, FL 33025-3824
(954) 692-4236
(754) 263-7134
Mailing address
2240 RIVERDALE DR N, MIRAMAR, FL 33025-3824
(954) 692-4236
(754) 263-7134
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13570
FL
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123350800
—
FL
Enumeration date
09/04/2024
Last updated
09/04/2024
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