| Doctor Name: | LATONIA DELORES SIMMONS |
| NPI Number: | 1841629243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 232816 |
| Business Practice Address: | 12428 Cadley Cir Jacksonville, FL - 322191861 |
| Business Phone Number: | 9048024363 |
| Business Fax Number: | 9047130632 |
| Mailing Address: | 12428 Cadley Cir, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322191861 |
| Phone Number: | 9048024363 |
| Fax Number: | 9047130632 |
| NPI Enumeration Date: | 11/06/2013 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 232816 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |