Individual
WILMINE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-4289
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-4289
(305) 243-5546
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11005761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021778
—
FL
Enumeration date
02/10/2022
Last updated
04/05/2022
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