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NPI 1811504319

NPI 1811504319 : SIMONE SIMMONDS DARVILLE : DAVIE, FL

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General NPI Number Information
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    NPI Number           |    1811504319
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    Entity Type          |    Individual 
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    Provider Name        |    SIMONE SIMMONDS DARVILLE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/29/2020
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    5800 S UNIVERSITY DR 
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    City                 |    DAVIE
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    State                |    FL
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    Zip                  |    33328-6102
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    Country              |    US
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    Telephone            |    866-389-2727
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5800 S UNIVERSITY DR 
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    City                 |    DAVIE
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    State                |    FL
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    Zip                  |    33328-6102
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    Country              |    US
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    Telephone            |    866-389-2727
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    09349223
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    License Number State |    NH
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    4017056
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    0036279
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    APRN04398
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    License Number State |    RI
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Taxonomy #5
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    101.0136924
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    License Number State |    VT
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Taxonomy #6
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    CNP241181
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    License Number State |    ME
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Taxonomy #7
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AC006410
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    License Number State |    MD
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Taxonomy #8
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    LG-0012968
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    License Number State |    DE
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Taxonomy #9
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    NP500021346
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    License Number State |    DC
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Taxonomy #10
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    RN10004897
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    License Number State |    MA
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Taxonomy #11
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    53-82947-072
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    License Number State |    KS
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Taxonomy #12
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    11009333
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    License Number State |    FL
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