Individual provider · Type 1 NPI

Kelly Simeon

Driver · Deerfield Beach, FL

NPI number 1508482456 Active

Practice location

360 SE 12th Ave Apt 1
Deerfield Beach, FL 33441-4449

Fax (800) 390-1648

Mailing address

PO Box 5941
Hollywood, FL 33083-5941

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XS550500732920 (FL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1508482456

Kelly Simeon's National Provider Identifier is 1508482456, issued on Jun 17, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Jun 17, 2020.