Individual
DR. RICHARD ALAN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1861 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5209
(321) 728-1996
(321) 406-1026
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 1472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00142795
RAILROAD MEDICARE
FL
01
—
PO 1472
STATE LICENSE NUMBER
FL
Enumeration date
02/25/2007
Last updated
09/06/2011
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