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NPI Code Detail

MEDICARE: DAMIEN SIMMONS

MEDICARE: DAMIEN SIMMONS
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
1183500000XPharmacistPS40989FL

General Provider Information

NPI Number : 1134635006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMIEN SIMMONS
Provider Business Mailing Address
First Line : 100 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1120
Country : US
Telephone Number : 561-232-2893
Fax Number : 561-360-2226
Provider Business Practice Location Address
First Line : 100 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1120
Country : US
Telephone Number : 561-232-2893
Fax Number : 561-360-2226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 12/14/2017

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Directions to “ DAMIEN SIMMONS ” Practice Location

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