Individual
SANDRA CLARIDY-SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 LEGACY COVE DR, MAITLAND, FL 32751-7524
(904) 294-1993
Mailing address
1951 LEGACY COVE DR, MAITLAND, FL 32751-7524
(904) 294-1993
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C463798685480
FL
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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