Simon, Mark A
Simon, Mark A is an individual health care provider with primary practice located at 5401 S Congress Ave #102, Atlantis FL 33462-6635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Simon, Mark A can be contacted via phone (561) 967-5033.Contact Information
Primary practice address
5401 S Congress Ave #102
Atlantis FL 33462-6635
Phone: (561) 967-5033
Fax: (561) 967-8974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME55192 | Florida |
Profile Details
| NPI number | 1083654081 |
|---|---|
| LBN Legal business name | Simon, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 4th, 2007 - about 17 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 | 1083654081 | NPPES |
| Florida | MEDICAID | 05047300 |
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