Individual provider · NPI-1

Ryan Fitzsimmons

Technician · Ocala, FL

NPI number1174352744
StatusActive
Last updated in NPPESJul 31, 2024

Details

NPI
1174352744
Entity type
Individual (NPI-1)
Name
Ryan Fitzsimmons
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2024
Certification date
Jul 29, 2024
Last updated
Jul 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician2945FLYes

Practice location

4412 Se 14th St
Ocala, FL 34471-3381

Phone 814-337-3071

Mailing address

4412 Se 14th St
Ocala, FL 34471-3381

Phone 814-337-3071

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