Provider Demographics
NPI:1316105653
Name:SIMMONS, CHAD FRANKLIN (DPM)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:FRANKLIN
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5238 MASON CORBIN CT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7738
Mailing Address - Country:US
Mailing Address - Phone:239-936-5400
Mailing Address - Fax:239-936-9572
Practice Address - Street 1:5238 MASON CORBIN CT
Practice Address - Street 2:SUITE 102
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7738
Practice Address - Country:US
Practice Address - Phone:239-936-5400
Practice Address - Fax:239-936-9572
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3356213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery