Healthcare Provider Details

I. General information

NPI: 1821755836
Provider Name (Legal Business Name): SIMEDHEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2021
Last Update Date: 11/24/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 W NEWBERRY ROAD STE 18 ADMINISTRATION
GAINESVILLE FL
32607
US

IV. Provider business mailing address

4343 W NEWBERRY ROAD STE 18 ADMINISTRATION
GAINESVILLE FL
32607
US

V. Phone/Fax

Practice location:
  • Phone: 352-224-2200
  • Fax: 352-224-2484
Mailing address:
  • Phone: 352-224-2200
  • Fax: 352-224-2484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL M. DUNCANSON
Title or Position: CHIEF EXECTIVE OFFICER
Credential: MD
Phone: 352-224-2302