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Individual

WAYNE SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
502 W HIGHLAND BLVD, INVERNESS, FL 34452-4720
(801) 358-5236
Mailing address
10995 E MOORES HAMMOCK CT, INVERNESS, FL 34450-8226
(801) 358-5236

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS19068
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114878600
FL
Enumeration date
04/24/2018
Last updated
02/03/2025
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