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Organization
REBECCA J SIMS OD PA
Active
Organization
REBECCA J SIMS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LEONARD (CREDENTIALING)
(813) 966-7681
Entity
Organization
Contact information
Practice address
3604 MADACA LN, TAMPA, FL 33618-2057
(813) 962-1006
Mailing address
3606 S CLARK AVE, TAMPA, FL 33629-8519
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20995H
BCBS
FL
01
—
5261666
AETNA
FL
Enumeration date
11/23/2022
Last updated
11/23/2022
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