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Simone Lemar Gowie-Jerome

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

52 W Underwood St, Orlando, FL 32806-1110

PECOS Enrollment

This provider is enrolled in PECOS as SIMONE GOWIE-JEROME.

Based on the most recent information from CMS, provider Simone Lemar Gowie-Jerome is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023510294
Provider Type
Individual
Full Name
Gowie-Jerome, Simone Lemar
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/5/2018
Last Updated
3/5/2018

Contact Information

Practice Location

52 W Underwood St, Orlando, FL 32806-1110

(321) 841-6229

Unlisted Fax

Mailing Location

52 W Underwood St, Orlando, FL 32806-1110

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9194080 Florida

Simone Lemar Gowie-Jerome

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Sweet-Perez, Julie L

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