Simmons, Dwelvin L

Simmons, Dwelvin L is an individual health care provider with primary practice located at 2161 Kingsley Ave Suite 100, Orange Park FL 32073-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Simmons, Dwelvin L can be contacted via phone (904) 276-2303.

Contact Information

Primary practice address
2161 Kingsley Ave Suite 100 Orange Park FL 32073-5116
Phone: (904) 276-2303
Fax: (904) 276-9690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME77936 Florida

Profile Details

NPI number 1740247311
LBN Legal business name Simmons, Dwelvin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740247311 NPPES
Florida Other 258515 AVMED
Florida Other 7884043 AVMED
Florida Other 7638449 AVMED
Florida Other 1099111 AVMED
Florida MEDICAID 256841100 AVMED
Florida Other P01451925 AVMED
Florida Other P00202470 AVMED
Florida Other P01596543 AVMED
Florida Other 1254570 AVMED
Florida Other 1115826 AVMED
Florida Other 68967 AVMED

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