Individual
SIMONE ANN CONDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 594-9022
Mailing address
8900 N KENDALL DR, MIAMI, FL 33176-2118
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
9264486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124156401
—
FL
Enumeration date
01/13/2019
Last updated
01/13/2019
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