Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 19737 | PR |
N | 208D00000X | General Practice Physician | ACN1020 | FL |
NPI | 1033650551 |
---|---|
Provider Name | Dr. Simonne Maj Hammarquist |
First Address | Spring Hill, FL 34609-8102 |
Second Address | Spring Hill, FL 34606-4562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2017 |
Last Update Date | 02/04/2019 |