Simon, Michael Johnson

Simon, Michael Johnson is an individual health care provider with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Simon, Michael Johnson can be contacted via phone (863) 293-1121.

Contact Information

Primary practice address
200 Avenue F Ne Winter Haven FL 33881-4131
Fax: (844) 876-0873
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME36347 Florida

Profile Details

NPI number 1609802628
LBN Legal business name Simon, Michael Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 6th, 2019 - about 5 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 1609802628 NPPES
Florida MEDICAID 061591900

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