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NPI Code Detail

MEDICARE: MS. SIMONE M ARCHBALD LMT

MEDICARE:  MS. SIMONE M ARCHBALD  LMT
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
1225700000XMassage TherapistMA58554FL

General Provider Information

NPI Number : 1477870483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SIMONE M ARCHBALD LMT
Provider Business Mailing Address
First Line : 7036 ORTEGA AVE
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-1053
Country : US
Telephone Number : 813-880-7577
Fax Number : 813-880-7553
Provider Business Practice Location Address
First Line : 7036 ORTEGA AVE
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-1053
Country : US
Telephone Number : 813-880-7577
Fax Number : 813-880-7553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2010
Last Update Date : 04/29/2010

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Directions to “ MS. SIMONE M ARCHBALD LMT” Practice Location

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