Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | ME74810 | FL |
N | 208000000X | Pediatrician | K6711 | TX |
Y | 208000000X | Pediatrician | ME74810 | FL |
NPI | 1730193251 |
---|---|
Provider Name | Alison Simpson |
First Address | Temple Terrace, FL 33637-0913 |
Second Address | Tampa, FL 33613-4613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 09/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003230700 | (05) | FL |
092504201 | (05) | TX |
10026584 | (05) | TX |
14C19 | BCBS OF FLORIDA (01) | FL |
276279 | SCOTT & WHITE (01) | TX |
7240025 | AETNA (01) | TX |
82942Y | BCBS (01) | TX |
F85393 | (02) |