Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ebony Lucille Simon

Individual provider Massage Therapist · NPI 1184442915

MS. Ebony Lucille Simon is a Massage Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

9428 Baymeadows Rd Ste 250
Jacksonville, FL 32256-7970
Phone: (904) 795-0705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA104020 (FL)

Record details

NPI number1184442915
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateSeptember 30, 2024
Mailing address9428 Baymeadows Rd, Jacksonville, FL 32256-7969

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