Simmons, Tandra Lamikia

Simmons, Tandra Lamikia is an sole proprietor health care provider with primary practice located at 901 Nw 8Th Ave Ste A2 , Gainesville FL 32601-5000. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Simmons, Tandra Lamikia can be contacted via phone (352) 258-3450.

Contact Information

Primary practice address
901 Nw 8Th Ave Ste A2 Gainesville FL 32601-5000
Phone: (352) 258-3450
Fax: (352) 379-5502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 689678296 Florida

Profile Details

NPI number 1912345372
LBN Legal business name Simmons, Tandra Lamikia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2013
Last updated Oct 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912345372 NPPES
Florida MEDICAID 80-0388997
Florida MEDICAID 689678296

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