Individual
SUSAN LYNNE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
3206 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-1202
(727) 822-8400
(727) 822-8400
Mailing address
3206 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-1202
(727) 822-8400
(727) 822-8400
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
1189282 RN 27486 MA
FL
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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