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NPI Code Detail

MEDICARE: MRS. BROOKE T SIMMS DPT, OCS

MEDICARE: MRS. BROOKE T SIMMS DPT, OCS
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
1225100000XPhysical Therapist25312FL

General Provider Information

NPI Number : 1215250949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BROOKE T SIMMS DPT, OCS
Provider Business Mailing Address
First Line : 9517 CAVENDISH DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-5152
Country : US
Telephone Number : 504-352-8984
Fax Number :
Provider Business Practice Location Address
First Line : 10607 SHELDON RD
Second Line :
City : TAMPA
State : FL
Zip : 33626-5114
Country : US
Telephone Number : 813-792-1531
Fax Number : 813-792-1721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 06/04/2020

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