Individual
DR. AISHAH COVINGTON SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4495 ROOSEVELT BLVD STE 316, JACKSONVILLE, FL 32210-3356
(904) 384-5222
(904) 384-6468
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME124508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01513293
RR MEDICARE
FL
Enumeration date
07/06/2012
Last updated
11/19/2024
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