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MR. KELLY SIMEON
NPI 1508482456
Driver in Deerfield Beach, FL

Active since June 17, 2020
360 SE 12TH AVE APT 1, DEERFIELD BEACH, FL 33441(954) 256-3673(800) 390-1648 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Kelly Simeon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLY SIMEON (NPI 1508482456) is an individual driver provider in Deerfield Beach, Florida, licensed in Florida (S550500732920) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1508482456
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameMR. KELLY SIMEON
Location Address360 SE 12TH AVE APT 1Deerfield Beach, FL 33441-4449
Mailing AddressPo Box 5941Hollywood, FL 33083-5941 · (954) 256-3673 · Fax (800) 390-1648
Phone(954) 256-3673
Fax(800) 390-1648
Sole ProprietorYes
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1508482456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in FL · S550500732920
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
360 SE 12TH AVE APT 1, Deerfield Beach, FL 33441
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Simeon's NPI number?

The NPI number for Kelly Simeon is 1508482456. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Kelly Simeon located?

Kelly Simeon practices at 360 SE 12th Ave Apt 1, Deerfield Beach, FL 33441. The listed phone number is (954) 256-3673.

What is Kelly Simeon's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Simeon was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.