Individual
MARIE E. SIMEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8206 PENNYWELL PLACE, TAMPA, FL 33615
(813) 445-9763
Mailing address
8206 PENNYWELL PLACE, TAMPA, FL 33615
(813) 445-9763
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
6906802
FL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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