Individual
REGINALD BERNARD SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 COLUMBIA DR, SUITE: A-327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME67776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500039168
FGTBA MEDICARE RAILROAD
FL
01
—
26642
BCBS
FL
01
—
P00130523
GTBA MEDICARE RAILROAD
FL
Enumeration date
05/23/2006
Last updated
04/10/2008
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