Individual
SIMMY REGIN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 HAMMOCK GROVE LN, JACKSONVILLE, FL 32225-5575
(904) 616-7010
Mailing address
1613 HAMMOCK GROVE LN, JACKSONVILLE, FL 32225-5575
(904) 616-7010
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11008910
FL
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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