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Contact Information

CHARLES E SIMMONS III, MD
1771 EDGEWOOD AVE
STE 1
JACKSONVILLE, FL32208
 Phone: 904-766-1106
 Fax: 904-766-1751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHARLES E SIMMONS III · (Male)

NPI # 1851308506
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 11/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME36134
  • FL Medicaid 039575700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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