Healthcare Provider Details

I. General information

NPI: 1043124365
Provider Name (Legal Business Name): SIMPSON BARIATRIC EVALUATIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 MORNING STAR RD
VENICE FL
34285-6012
US

IV. Provider business mailing address

162 MORNING STAR RD
VENICE FL
34285-6012
US

V. Phone/Fax

Practice location:
  • Phone: 352-514-5810
  • Fax:
Mailing address:
  • Phone: 352-514-5810
  • Fax: 941-352-5885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DALE SIMPSON
Title or Position: PSYCHOLOGIST OWNER
Credential: PH.D.
Phone: 352-514-5810