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Organization

SIMMONS' PODIATRY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD ALAN SIMMONS DPM (PRESIDENT)
(321) 728-1996
Entity
Organization

Contact information

Practice address
1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209
(321) 728-1996
(321) 728-1996
Mailing address
1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209
(321) 728-1996
(321) 406-1026

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 0001472
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480002763
RAILROAD MEDICARE
FL
01
87795A
FIRST COAST SERVICE
FL
Enumeration date
10/29/2006
Last updated
09/08/2011
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