Organization
NORTH FLORIDA PEDIATRIC ASSOC., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P. SIMMONS JR. M.D. (PRESIDENT)
(850) 877-1162
Entity
Organization
Contact information
Practice address
3606 MACLAY BLVD, SUITE 102, TALLAHASSEE, FL 32312
(850) 877-1162
(850) 701-2535
Mailing address
3606 MACLAY BLVD, SUITE 102, TALLAHASSEE, FL 32312
(850) 877-1162
(850) 701-2535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24553
BCBS
FL
Enumeration date
11/17/2006
Last updated
01/15/2014
Update your record
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