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NPI Code Detail

MEDICARE: MRS. JANE IVETTE SIMMONS M.A., CCC-SLP

MEDICARE: MRS. JANE IVETTE SIMMONS M.A., CCC-SLP
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
1235Z00000XSpeech-Language PathologistSA 979FL

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 : 1285852384
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANE IVETTE SIMMONS M.A., CCC-SLP
Provider Business Mailing Address
First Line : 1283 MADELENA AVE
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4868
Country : US
Telephone Number : 407-404-0538
Fax Number :
Provider Business Practice Location Address
First Line : 12702 SCIENCE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32826-3016
Country : US
Telephone Number : 407-404-0538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 09/04/2024

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