Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME 33698 | FL |
N | 111NI0900X | Internist | ME 33698 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | ME 33698 | FL |
NPI | 1063435535 |
---|---|
Provider Name | Dr. Donald William Simmler II |
First Address | Clearwater, FL 33759-3012 |
Second Address | St Petersburg, FL 33705-1300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 23/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012233500 | (05) | FL |
D57364 | (02) | FL |