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General NPI Number Information
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NPI Number | 1093454670
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Entity Type | Organization
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Legal Business Name | SIMMONS MD, LLC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 2820 NE 214TH ST STE 801 C/O LINA AVENTURA
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City | AVENTURA
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State | FL
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Zip | 33180-1269
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Country | US
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Telephone | 305-204-8558
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Fax | 305-204-8122
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Provider Business Mailing Address
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Address Line | 2820 NE 214TH ST STE 801 C/O LINA AVENTURA
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City | AVENTURA
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State | FL
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Zip | 33180-1269
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Country | US
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Telephone | 305-204-8558
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Fax | 305-204-8122
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. OKEEFE LAUCHLAND SIMMONS
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Credential | MD
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Telephone | 305-204-8558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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