MEDICARE: ARKIM SIMS-MORGAN

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1578169454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARKIM SIMS-MORGAN

Provider Business Mailing Address
First Line	:	PO BOX 14202
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33302-4202
Country	:	US
Telephone Number	:	954-695-9001
Fax Number	:	305-256-8085

Provider Business Practice Location Address
First Line	:	3015 N OCEAN BLVD STE 116A
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7344
Country	:	US
Telephone Number	:	954-695-9001
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	12/07/2020

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