Individual
MRS. SONYA SIMMONS MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES VA HEALTHCARE, BAY PINES, FL 33744
(727) 398-6661
Mailing address
6401 AMBASSADOR DR, TAMPA, FL 33615-3401
(813) 882-0279
(727) 398-9549
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT0003156
FL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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