Individual
JOHN SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 N MANGOUSTINE AVE UNIT G, SANFORD, FL 32771-1098
(321) 363-1754
(321) 363-3336
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 221-3132
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9108786
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108786
FL
Other
Enumeration date
08/18/2015
Last updated
09/10/2025
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