Individual
MS. SHAVONE SIMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1887 KINGSLEY AVE, SUITE 1900, ORANGE PARK, FL 32073-4416
(904) 272-9981
Mailing address
9800 TOUCHTON RD, APT. #638, JACKSONVILLE, FL 32246-8296
(571) 521-9811
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 9108356
FL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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