Provider Demographics
NPI:1427701556
Name:SIMS, ALACIA JANEE (PA-C)
Entity type:Individual
Prefix:
First Name:ALACIA
Middle Name:JANEE
Last Name:SIMS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2014 S ORANGE AVE STE 200B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-3097
Mailing Address - Country:US
Mailing Address - Phone:407-447-2273
Mailing Address - Fax:407-218-4621
Practice Address - Street 1:1111 SE FEDERAL HWY STE 330
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3839
Practice Address - Country:US
Practice Address - Phone:561-402-3971
Practice Address - Fax:561-422-4799
Is Sole Proprietor?:No
Enumeration Date:2022-01-29
Last Update Date:2023-06-08
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Provider Licenses
StateLicense IDTaxonomies
FL9115472363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant