Healthcare Provider Details

I. General information

NPI: 1831019009
Provider Name (Legal Business Name): SIMPLY LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 W FAIRBANKS AVE STE B
WINTER PARK FL
32789-4746
US

IV. Provider business mailing address

631 W FAIRBANKS AVE STE B
WINTER PARK FL
32789-4746
US

V. Phone/Fax

Practice location:
  • Phone: 305-680-6612
  • Fax:
Mailing address:
  • Phone: 305-680-6612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARON DAVID BANKS
Title or Position: CEO
Credential:
Phone: 305-680-6612