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NPI Code Detail

MEDICARE: AARON SIMMONS ARNP

MEDICARE: AARON SIMMONS ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner9247081FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235672163
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON SIMMONS ARNP
Provider Business Mailing Address
First Line : 4173 SW WINSLOW ST
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34953-7240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5550 S US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-8701
Country : US
Telephone Number : 772-460-9227
Fax Number : 772-460-9292
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2016
Last Update Date : 02/06/2017

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