Provider Demographics
| NPI: | 1639680127 |
|---|---|
| Name: | SIMEDHEALTH LLC |
| Entity Type: | Organization |
| Organization Name: | SIMEDHEALTH LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO/PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | DANIEL |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | DUNCANSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD,CPE |
| Authorized Official - Phone: | 352-224-2200 |
| Mailing Address - Street 1: | PO 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: | 352-416-1100 |
| Mailing Address - Fax: | 352-416-1798 |
| Practice Address - Street 1: | 4343 W NEWBERRY RD |
| Practice Address - Street 2: | |
| Practice Address - City: | GAINESVILLE |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 32607-2817 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 352-416-1100 |
| Practice Address - Fax: | 352-416-1798 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-10-24 |
| Last Update Date: | 2024-04-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
| No | 207KA0200X | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | Group - Multi-Specialty |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology | Group - Multi-Specialty |
| No | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | Group - Multi-Specialty |
| No | 207RM1200X | Allopathic & Osteopathic Physicians | Internal Medicine | Magnetic Resonance Imaging (MRI) | Group - Multi-Specialty |
| No | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
| No | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Multi-Specialty | |
| No | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | Group - Multi-Specialty |
| No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
| No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty |
