Organization
SIMPLY LAURA'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LYNN MORRIS (OWNER)
(863) 968-0447
Entity
Organization
Contact information
Practice address
302 E PARK ST, AUBURNDALE, FL 33823-3411
(863) 968-0447
Mailing address
302 E PARK ST, AUBURNDALE, FL 33823-3411
(863) 968-0447
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
MM20298
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
CE0079861
FL
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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