| Simmons Medical Group South Inc | |
|
301 Harbour Place Dr Unit 2007 Tampa FL 33602-6808 | |
| (248) 321-6612 | |
| (813) 964-6337 |
| Full Name | Simmons Medical Group South Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Harbour Place Dr Unit 2007, Tampa, Florida |
| Authorized Official Name and Position | Gina M Pierce (PRESIDENT) |
| Authorized Official Contact | 2483216612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simmons Medical Group South Inc 18155 Peninsula Way Northville MI 48168-8496 Ph: (734) 945-8706 | Simmons Medical Group South Inc 301 Harbour Place Dr Unit 2007 Tampa FL 33602-6808 Ph: (248) 321-6612 |
| NPI Number | 1003381799 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 04/02/2019 |
| Medicare PECOS PAC ID | 3072846385 |
|---|---|
| Medicare Enrollment ID | O20190531000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003381799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Florina M Schiess-kadribasic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922215011 PECOS PAC ID: 3779757778 Enrollment ID: I20111130000545 |
| Provider Name | Heather M Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316312655 PECOS PAC ID: 4385947126 Enrollment ID: I20171024000530 |
| Provider Name | John S Maarouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174478 PECOS PAC ID: 1658679972 Enrollment ID: I20180412002244 |
| Provider Name | Klajdi Ndini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239026 PECOS PAC ID: 7214210061 Enrollment ID: I20200818002383 |
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