Healthcare Provider Details

I. General information

NPI: 1649124967
Provider Name (Legal Business Name): SHARON JULIA SIMMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 US 301 S
RIVERVIEW FL
33578-6300
US

IV. Provider business mailing address

11603 TETRAFIN DR
RIVERVIEW FL
33579-4088
US

V. Phone/Fax

Practice location:
  • Phone: 813-471-0000
  • Fax:
Mailing address:
  • Phone: 727-688-3309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11045624
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: