MEDICARE: SIMONE DOUZE-JEANBAPTISTE

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	207Q00000X	Family Medicine Physician	APRN11019845	FL
2	363L00000X	Nurse Practitioner	APRN11019845	FL

General Provider Information

NPI Number	:	1447999198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE DOUZE-JEANBAPTISTE

Provider Business Mailing Address
First Line	:	450 S MAIN ST
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935-4629
Country	:	US
Telephone Number	:	863-675-2356
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 S MAIN ST
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935-4629
Country	:	US
Telephone Number	:	863-675-2356
Fax Number	:

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

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	03/04/2026

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Directions to “ SIMONE DOUZE-JEANBAPTISTE ” Practice Location

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