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Individual
TOMMY L SIMS
Active
Individual
TOMMY L SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10229
NC
363A00000X
Physician Assistant
PA9101447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017798600
—
FL
01
—
1065775
CAREPLUS (BOA)
FL
01
—
292352100
MEDICAID
FL
01
—
7171751
AETNA
FL
01
—
9677425
AETNA (FMSG)
FL
01
—
Y06TW
BCBS
FL
Enumeration date
02/15/2006
Last updated
04/04/2022
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