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Individual

MR. GREGORY SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP-C

Contact information

Practice address
1834 SW 1ST AVE, STE 101, OCALA, FL 34471-8101
(352) 732-5552
Mailing address
1834 SW 1ST AVE, STE 101, OCALA, FL 34471-8101
(352) 409-2110

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9179262
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019959500
FL
Enumeration date
02/06/2017
Last updated
04/26/2017
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