Healthcare Provider Details

I. General information

NPI: 1376616698
Provider Name (Legal Business Name): SIMED HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 W NEWBERRY RD SUITE 9
GAINESVILLE FL
32607-2817
US

IV. Provider business mailing address

4343 W NEWBERRY RD SUITE 9
GAINESVILLE FL
32607-2817
US

V. Phone/Fax

Practice location:
  • Phone: 352-224-2450
  • Fax: 352-224-2451
Mailing address:
  • Phone: 352-224-2450
  • Fax: 352-224-2451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH21312
License Number StateFL

VIII. Authorized Official

Name: DANIEL MARTIN DUNCANSON
Title or Position: CEO
Credential: M.D
Phone: 352-224-2200