Simon, Amy M
Simon, Amy M is an individual health care provider with primary practice located at 707 W Eau Gallie Blvd , Melbourne FL 32935-5958. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Simon, Amy M can be contacted via phone (321) 727-3223.Contact Information
Primary practice address
707 W Eau Gallie Blvd
Melbourne FL 32935-5958
Phone: (321) 727-3223
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME88562 | Florida |
Profile Details
NPI number | 1407978703 |
---|---|
LBN Legal business name | Simon, Amy M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2007 |
Last updated | Jun 25th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407978703 | NPPES |
Florida | MEDICAID | 014537400 |
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