MEDICARE: LUCY SIMAS FNP-C

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	207Q00000X	Family Medicine Physician	F08220934	FL

General Provider Information

NPI Number	:	1962121269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCY SIMAS FNP-C

Provider Business Mailing Address
First Line	:	2645 MADELINE AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-6308
Country	:	US
Telephone Number	:	407-754-7467
Fax Number	:

Provider Business Practice Location Address
First Line	:	2645 MADELINE AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-6308
Country	:	US
Telephone Number	:	407-754-7467
Fax Number	:

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

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	12/09/2022

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