MEDICARE: MS. SIMONE GAY MEIKLE RN

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	163W00000X	Registered Nurse	RN 9237890	FL

General Provider Information

NPI Number	:	1144352659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SIMONE GAY MEIKLE RN

Provider Business Mailing Address
First Line	:	5518 WESTBURY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-3446
Country	:	US
Telephone Number	:	407-590-0368
Fax Number	:

Provider Business Practice Location Address
First Line	:	5518 WESTBURY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-3446
Country	:	US
Telephone Number	:	407-590-0368
Fax Number	:

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

Provider Enumeration Date	:	03/10/2007
Last Update Date	:	07/08/2007

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