Organization
SIMON ENTERPRISES & INVESTMENTS, LLC
Active
Other names
The Play Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SIRENA C SIMON MS, CCC-SLP (OWNER)
(850) 687-1200
Entity
Organization
Contact information
Practice address
1900 LAND O LAKES BLVD STE 107, LUTZ, FL 33549-2920
(813) 436-3558
(888) 491-5568
Mailing address
12386 CRIOLLO RD, SPRING HILL, FL 34610-7845
(850) 687-1200
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235201450
NPI
FL
01
—
1457815672
NPI
—
01
—
1851835052
NPI
FL
Enumeration date
08/14/2022
Last updated
05/21/2024
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