Doctor Name: | LAURISTON SIMMS |
NPI Number: | 1053717595 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | AL12573 |
Business Practice Address: | 122 Kings Way Royal Palm Beach, FL - 334111512 |
Business Phone Number: | 5613334684 |
Business Fax Number: | 5617849693 |
Mailing Address: | 122 Kings Way, ROYAL PALM BEACH |
State: | FL |
Postal Code: | 334111512 |
Phone Number: | 5613334684 |
Fax Number: | 5617849693 |
NPI Enumeration Date: | 11/11/2014 |
NPI Last Update Date: | 01/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3747A0650X |
License Number: | AL12573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Technician |
Taxonomy Specialization: | Attendant Care Provider |
Taxonomy Definition: | An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |