Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | BP10024848 | TX |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME113187 | FL |
Y | 2082S0105X | Plastic Hand Surgeon | ME113187 | FL |
NPI | 1255662797 |
---|---|
Provider Name | Dr. Sara Putnam Simmons |
First Address | Bradenton, FL 34209-5525 |
Second Address | Lakewood Ranch, FL 34202-5046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2010 |
Last Update Date | 18/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
264533500 | (05) | FL |
264533502 | (05) | FL |
264533503 | (05) | FL |