Dr. Annlisa Simon, DO
Student in an Organized Health Care Education/Training Program in Jacksonville, FL. Individual provider (NPI-1).
NPI number1124815840
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1124815840
- Entity type
- Individual (NPI-1)
- Name
- Dr. Annlisa Simon
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2025
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2627 Riverside AveJacksonville, FL 32204-4717
Phone 904-308-7372
Mailing address
2627 Riverside AveJacksonville, FL 32204-4717
Phone 904-308-7372
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