Individual
DEMITRIA SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T. (R)
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(904) 803-7291
Mailing address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(904) 803-7291
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
TGR101173
FL
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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