Individual
IAN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA - C
Contact information
Practice address
6600 MADISON ST, NEW PORT RICHEY, FL 34652-1971
(727) 842-8468
Mailing address
1402 WATERMILL CIR, TARPON SPRINGS, FL 34689-7030
(727) 512-1737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108484
FL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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