Individual
DR. CAPRI N SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, DEPARTMENT OF EMERGENCY MEDICINE, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
PO BOX 10030, DAYTONA BEACH, FL 32120-0030
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS10794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001613300
—
FL
01
—
146T3
FLORIDA BC BS
FL
01
—
CR7932
MEDICARE PTAN
FL
01
—
P00820615
MEDICARE PTAN
FL
Enumeration date
01/12/2009
Last updated
10/22/2010
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