Individual
MICHELLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6311 S POINTE BLVD, SUITE 400, FORT MYERS, FL 33919-4901
(239) 275-0040
(239) 275-4273
Mailing address
6311 S POINTE BLVD, SUITE 400, FORT MYERS, FL 33919-4901
(239) 275-0040
(239) 275-4273
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106990
FL
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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