Individual
FARAH SIMEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
412 PENSACOLA DR, LAKE WORTH, FL 33462-2239
(561) 577-3713
Mailing address
412 PENSACOLA DR, LAKE WORTH, FL 33462-2239
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L18000082244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100615400
—
FL
Enumeration date
01/24/2019
Last updated
01/24/2019
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