MEDICARE: QUANTELL M SIMPKINS

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
1	320800000X	Mental Illness Community Based Residential Treatment Facility	L25000286921	FL
2	372600000X	Adult Companion	L25000286921	FL

General Provider Information

NPI Number	:	1114807278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUANTELL M SIMPKINS

Provider Business Mailing Address
First Line	:	7760 COVEDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-4742
Country	:	US
Telephone Number	:	407-813-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	7760 COVEDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-4742
Country	:	US
Telephone Number	:	407-813-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

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Directions to “ QUANTELL M SIMPKINS ” Practice Location

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