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Individual

DR. LALITHA VADLAMANI-SIMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
490 HIGHWAY 85 N STE A, NICEVILLE, FL 32578-1010
(850) 419-2691
(850) 353-2142
Mailing address
1590 RUCKEL DR, NICEVILLE, FL 32578-1603
(850) 621-5058

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81854
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262647100
FL
Enumeration date
12/14/2005
Last updated
01/21/2021
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