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NPI Code Detail

MEDICARE: LAURISTON SIMMS

MEDICARE:   LAURISTON  SIMMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care ProviderAL12573FL

General Provider Information

NPI Number : 1053717595
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURISTON SIMMS
Provider Business Mailing Address
First Line : 122 KINGS WAY
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-1512
Country : US
Telephone Number : 561-333-4684
Fax Number : 561-784-9693
Provider Business Practice Location Address
First Line : 122 KINGS WAY
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-1512
Country : US
Telephone Number : 561-333-4684
Fax Number : 561-784-9693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2014
Last Update Date : 02/12/2026

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Directions to “ LAURISTON SIMMS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.