Provider Demographics
NPI:1326212788
Name:SIMO NET INC
Entity Type:Organization
Organization Name:SIMO NET INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA RAMONA
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:MARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-734-0594
Mailing Address - Street 1:1930 UNION ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-2249
Mailing Address - Country:US
Mailing Address - Phone:727-734-0594
Mailing Address - Fax:727-738-8555
Practice Address - Street 1:1930 UNION ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2249
Practice Address - Country:US
Practice Address - Phone:727-734-0594
Practice Address - Fax:727-738-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7343310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility