Provider Demographics
NPI:1427624824
Name:SIMIC, MONIKA
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:SIMIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 NW 7TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-1888
Mailing Address - Country:US
Mailing Address - Phone:239-810-7129
Mailing Address - Fax:
Practice Address - Street 1:1853 VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-3428
Practice Address - Country:US
Practice Address - Phone:239-273-0270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health