Simon, Fred L

Simon, Fred L is an individual health care provider with primary practice located at 4665 S Congress Ave Suite 100, Lake Worth FL 33461-4754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Simon, Fred L can be contacted via phone (561) 649-0243.

Contact Information

Primary practice address
4665 S Congress Ave Suite 100 Lake Worth FL 33461-4754
Phone: (561) 649-0243
Fax: (561) 649-4132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 30854 Florida

Profile Details

NPI number 1437145919
LBN Legal business name Simon, Fred L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 15th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437145919 NPPES
Florida MEDICAID 038426700
Florida MEDICAID 000594200
Florida Other P00686507

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