Organization Active NPI

Simply Laura's

  • Prosthetic/Orthotic Supplier
  • Auburndale, FL
National Provider Identifier
1710211156
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CE0079861 Issued in FL
Legal business name
SIMPLY LAURA'S
Practice address
302 E Park St
Auburndale, FL 33823-3411
Phone
(863) 968-0447
NPI assigned
Oct 1, 2009
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Laura Lynn Morris
Title
Owner
Phone
(863) 968-0447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MM20298 FL
Prosthetic/Orthotic Supplier 335E00000X CE0079861 FL Primary

Addresses

Primary practice location

302 E Park St
Auburndale, FL 33823-3411

Mailing address

302 E Park St
Auburndale, FL 33823-3411
Phone (863) 968-0447

National Provider Directory

National Provider Directory

Locations

302 E Park St
Auburndale, FL 33823
Phone (863) 968-0447

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1710211156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E PARK ST",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233411",
            "telephone_number": "863-968-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E PARK ST",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233411",
            "telephone_number": "863-968-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY LAURA'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-968-0447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MM20298",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "CE0079861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.