Individual
MRS. ROBIN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GROUP HOME
Contact information
Practice address
1401 27TH AVE S, ST PETERSBURG, FL 33705-3438
(727) 259-8446
Mailing address
1401 27TH AVE S, ST PETERSBURG, FL 33705-3438
(727) 259-8446
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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