Provider Demographics
NPI:1376960815
Name:SIMMONS, ANA (DC)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 PAGE BACON RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1669
Mailing Address - Country:US
Mailing Address - Phone:850-243-3993
Mailing Address - Fax:
Practice Address - Street 1:323 PAGE BACON RD
Practice Address - Street 2:SUITE 16
Practice Address - City:MARY ESTHER
Practice Address - State:FL
Practice Address - Zip Code:32569-1669
Practice Address - Country:US
Practice Address - Phone:850-243-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-22
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11068111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor