Healthcare Provider Details

I. General information

NPI: 1679230684
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: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 W NEWBERRY ROAD SUITE 13
GAINESVILLE FL
32607-2825
US

IV. Provider business mailing address

4343 W NEWBERRY ROAD STE 18 ADMINISTRATION
GAINESVILLE FL
32607
US

V. Phone/Fax

Practice location:
  • Phone: 352-332-7770
  • Fax: 352-332-2825
Mailing address:
  • Phone: 352-224-2200
  • Fax: 352-224-2484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine 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