Simeone, Shirley

Simeone, Shirley is an individual health care provider with primary practice located at 135 N Moon Ave , Brandon FL 33510-4419. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Simeone, Shirley can be contacted via phone (813) 689-8828.

Contact Information

Primary practice address
135 N Moon Ave Brandon FL 33510-4419
Phone: (813) 689-8828
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1053454082
LBN Legal business name Simeone, Shirley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053454082 NPPES
Florida MEDICAID 767124500

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