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NPI Code Detail

MEDICARE: DR. SIMONE ELIZABETH REID PHARM.D

MEDICARE: DR. SIMONE ELIZABETH REID PHARM.D
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
1183500000XPharmacistPS54098FL

General Provider Information

NPI Number : 1285002311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIMONE ELIZABETH REID PHARM.D
Provider Business Mailing Address
First Line : 5028 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4534
Country : US
Telephone Number : 561-615-6818
Fax Number : 561-615-0624
Provider Business Practice Location Address
First Line : 5028 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4534
Country : US
Telephone Number : 561-615-6818
Fax Number : 561-615-0624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2015
Last Update Date : 09/06/2015

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