Individual
ALVIN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16233 NE 21ST ST, GAINESVILLE, FL 32609-4459
(352) 485-1596
(352) 485-1596
Mailing address
16233 NE 21ST ST, GAINESVILLE, FL 32609-4459
(352) 485-1596
(352) 485-1596
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
F020764937001
FL
3747P1801X
Personal Care Attendant
F020764937001
FL
376J00000X
Homemaker
231584
FL
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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