Individual
DR. DOUGLAS FREDERICK SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 NOKOMIS AVE S, SUITE F, VENICE, FL 34285-2418
(941) 485-3166
(941) 485-2862
Mailing address
329 NOKOMIS AVE S, SUITE F, VENICE, FL 34285-2418
(941) 485-3166
(941) 485-2862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME56817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10773
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
10/27/2006
Last updated
07/08/2007
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