Individual
MRS. PATRICIA ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 HIRAM STREET, JACKSONVILLE, FL 32209-6105
(904) 354-6005
(904) 354-6005
Mailing address
1734 HIRAM STREET, JACKSONVILLE, FL 32209-6105
(904) 354-6005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688581196
—
FL
Enumeration date
06/17/2009
Last updated
06/17/2009
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