Healthcare Provider Details

I. General information

NPI: 1962898007
Provider Name (Legal Business Name): OKEEFE LAUCHLAND SIMMONS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NE 214TH ST STE 801
AVENTURA FL
33180-1269
US

IV. Provider business mailing address

2820 NE 214TH ST STE 801
AVENTURA FL
33180-1269
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-8558
  • Fax: 305-204-8122
Mailing address:
  • Phone: 305-204-8558
  • Fax: 305-204-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA155035
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35C.002547
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number47098
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME155332
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number309094-01
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME155332
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: