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Individual

DR. CHARLES ERRINGTON SIMMONS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1771 EDGEWOOD AVE, STE 1, JACKSONVILLE, FL 32208
(904) 766-1106
(904) 766-1751
Mailing address
1771 EDGEWOOD AVE, STE 1, JACKSONVILLE, FL 32208
(904) 766-1106
(904) 766-1751

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME36134
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039575700
FL
Enumeration date
08/02/2006
Last updated
11/07/2012
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