Individual
THOMAS J SIMMONS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1308 BRICKYARD RD, CHIPLEY, FL 32428-2437
(850) 703-7928
Mailing address
7940 FRONT BEACH RD # 2018, PANAMA CITY BEACH, FL 32407-4817
(850) 703-7928
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S552830781650
FL
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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