Individual
DR. KYLE EDWIN SIMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 E HIGHWAY 20, PEDIATRIC DEPARTMENT, NICEVILLE, FL 32578-8826
(850) 897-4400
(850) 897-0623
Mailing address
2001 E. HIGHWAY 20, PEDIATRIC DEPARTMENT, NICEVILLE, FL 32578
(850) 897-4400
(850) 897-0623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME86100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270268100
—
FL
01
—
48088
BCBSFL
FL
Enumeration date
12/14/2005
Last updated
01/23/2017
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