Provider Demographics
NPI:1033650551
Name:HAMMARQUIST, SIMONNE MAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:SIMONNE
Middle Name:MAJ
Last Name:HAMMARQUIST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7278 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6125
Mailing Address - Country:US
Mailing Address - Phone:727-807-5900
Mailing Address - Fax:727-264-8520
Practice Address - Street 1:7278 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6125
Practice Address - Country:US
Practice Address - Phone:727-807-5900
Practice Address - Fax:727-264-8520
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR19737208D00000X
FLACN1020208M00000X, 208D00000X
PR14217-I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program