Simmons, Matthew

Simmons, Matthew is an individual health care provider with primary practice located at 204 E 19Th St , Panama City FL 32405-4707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Simmons, Matthew can be contacted via phone (850) 763-5409.

Contact Information

Primary practice address
204 E 19Th St Panama City FL 32405-4707
Phone: (850) 763-5409
Fax: (850) 763-7129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104878 Florida

Profile Details

NPI number 1326165572
LBN Legal business name Simmons, Matthew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Dec 12th, 2013 - about 11 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 1326165572 NPPES
Florida Other PA9104878 FL MEDICAL LICENSE
Florida Other 001855 FL MEDICAL LICENSE

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