SIMPLIDERM LLC NPI 1295183739

NPI Information

  • NPI: 1295183739
  • Provider Name: SIMPLIDERM, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 17907 SPARROWS NEST DRIVE
    SUITE 103
    LUTZ, FL
    ZIP 33558
  • Phone: (813) 390-9896

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NPI Details

SIMPLIDERM, LLC is a family nurse practitioner in Lutz, FL. SIMPLIDERM, LLC NPI is 1295183739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17907 SPARROWS NEST DRIVE
SUITE 103
LUTZ, FL
ZIP 33558-025
Phone: (813) 390-9896
Fax: (813) 265-8595

The provider's authorized official is William John Kras .
The authorized official title is Nurse Practitioner and has the following contact phone number (813) 390-9897.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 5/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyARNP2721582FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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