MEDICARE: ANTHONY P SIMONE LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA 61373	FL

General Provider Information

NPI Number	:	1144566175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY P SIMONE LMT

Provider Business Mailing Address
First Line	:	500 S FEDERAL HWY UNIT 99
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33008-6004
Country	:	US
Telephone Number	:	954-646-3343
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S FEDERAL HWY UNIT 99
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33008-6004
Country	:	US
Telephone Number	:	954-646-3343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	12/19/2012

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Directions to “ ANTHONY P SIMONE LMT” Practice Location

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