Individual
WALTER SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13681 DOCTORS WAY, FT MYERS, FL 33912-4300
(239) 768-8611
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(393) 433-2922
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0009228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270214200
—
FL
01
—
43181
BCBS
FL
Enumeration date
02/03/2006
Last updated
06/15/2022
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