Provider Demographics
NPI:1861668477
Name:SIMKIN ZELTSMAN, NELLIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NELLIE
Middle Name:
Last Name:SIMKIN ZELTSMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8625 STIRLING RD
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5901
Mailing Address - Country:US
Mailing Address - Phone:954-252-7494
Mailing Address - Fax:954-252-7490
Practice Address - Street 1:8625 STIRLING RD
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-5901
Practice Address - Country:US
Practice Address - Phone:954-252-7494
Practice Address - Fax:954-252-7490
Is Sole Proprietor?:No
Enumeration Date:2008-05-03
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS31864OtherFLORIDA PHARMACIST LICENSE NUMBER