Organization
NANCY SIMONS LING MD PA
Active
Organization
NANCY SIMONS LING MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNA L BRICK (PRACTICE MANAGER)
(813) 689-2054
Entity
Organization
Contact information
Practice address
305 BRYAN RD, SUITE 5 & 6, BRANDON, FL 33511-5340
(813) 689-2054
(813) 654-5640
Mailing address
305 BRYAN RD, SUITE 5 & 6, BRANDON, FL 33511-5340
(813) 689-2054
(813) 654-5640
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0046345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH9887
RAILROAD MEDICARE
FL
Enumeration date
04/21/2010
Last updated
03/07/2023
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