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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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