Individual
MICHAEL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM,FACFAS
Contact information
Practice address
975 BAPTIST WAY, #101, HOMESTEAD, FL 33033-7600
(305) 246-4774
(305) 248-4086
Mailing address
975 BAPTIST WAY, #101, HOMESTEAD, FL 33033-7600
(305) 246-4774
(305) 248-4086
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO-0002754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390443100
—
FL
Enumeration date
10/12/2006
Last updated
04/04/2013
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