Provider Demographics
NPI:1972078095
Name:SIMED HEALTH, LLC
Entity type:Organization
Organization Name:SIMED HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:DUNCANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-224-2200
Mailing Address - Street 1:P.O. BOX 357010
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32635-7010
Mailing Address - Country:US
Mailing Address - Phone:352-224-2200
Mailing Address - Fax:352-224-2484
Practice Address - Street 1:4343 W. NEWBERRY ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2817
Practice Address - Country:US
Practice Address - Phone:352-373-6565
Practice Address - Fax:352-224-1972
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIMED HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty