Simon, Michael A

Simon, Michael A is an individual health care provider with primary practice located at 1951 Sw 172Nd Ave Suite 300, Miramar FL 33029-5593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Simon, Michael A can be contacted via phone (954) 499-7696.

Contact Information

Primary practice address
1951 Sw 172Nd Ave Suite 300 Miramar FL 33029-5593
Fax: (954) 499-7699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME89935 Florida

Profile Details

NPI number 1700885761
LBN Legal business name Simon, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated May 8th, 2017 - about 8 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 1700885761 NPPES
Florida Other 0195189 GHI
Florida Other 1193472 GHI
Florida Other 773707 GHI
Florida Other P0003130 GHI
Florida Other 2116456 GHI
Florida Other 298813 GHI
Florida Other 7072759 GHI
Florida Other M899351 GHI
Florida Other P00956378 GHI
Florida MEDICAID 001110900 GHI
Florida Other 50359 GHI
Florida Other 69212 GHI
Florida Other M899353 GHI
Florida Other SG078455 GHI
Florida Other 20784 GHI
Florida Other P01712888 GHI

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