Provider Demographics
NPI:1740392596
Name:SIMS, LAURA BEANIZ (MD)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BEANIZ
Last Name:SIMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 DURANGO ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6437
Mailing Address - Country:US
Mailing Address - Phone:786-317-2218
Mailing Address - Fax:305-444-4680
Practice Address - Street 1:10431 BIRD RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:305-222-2000
Practice Address - Fax:305-444-4680
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68114207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
27033SMedicare ID - Type Unspecified
G04978Medicare UPIN