Provider Demographics
NPI:1982482402
Name:SIMSOVIC CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SIMSOVIC CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMSOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-569-7770
Mailing Address - Street 1:380 SHORES DR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-3905
Mailing Address - Country:US
Mailing Address - Phone:772-569-7770
Mailing Address - Fax:
Practice Address - Street 1:2092 6TH AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-0906
Practice Address - Country:US
Practice Address - Phone:772-569-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty