Individual
MS. SIMONE DANIELLE DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
6920 22ND AVE N STE 120, SAINT PETERSBURG, FL 33710-3920
(727) 265-0013
(727) 289-3184
Mailing address
2822 54TH AVE S # 213, ST PETERSBURG, FL 33712-4610
(727) 265-0013
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL290859
FL
1744P3200X
Prosthetics Case Management
—
FL
224P00000X
Prosthetist
CL290859
FL
224P00000X
Prosthetist
—
FL
Other
Enumeration date
10/04/2021
Last updated
03/02/2023
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