Healthcare Provider Details

I. General information

NPI: 1447240395
Provider Name (Legal Business Name): JAMES STEPHEN SIMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W MORENO ST
PENSACOLA FL
32501-2316
US

IV. Provider business mailing address

PO BOX 30031
PENSACOLA FL
32503-1031
US

V. Phone/Fax

Practice location:
  • Phone: 850-478-1312
  • Fax: 850-474-9060
Mailing address:
  • Phone: 850-478-1312
  • Fax: 850-474-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME29131
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: