=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790106581
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIMALI HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/20/2013
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 310 W MITCHELL HAMMOCK RD SUITE # 500
-----------------------------------------------------
City | OVIEDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32765-4924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-366-2677
-----------------------------------------------------
Fax | 407-366-2535
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 310 W MITCHELL HAMMOCK RD SUITE 500
-----------------------------------------------------
City | OVIEDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32765-4924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-366-2677
-----------------------------------------------------
Fax | 407-366-2535
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST
-----------------------------------------------------
Name | SAMIR BRAHMBHATT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-459-4162
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH26946
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------