Simonsen, Andrew Robert

Simonsen, Andrew Robert is an individual health care provider with primary practice located at 1033 Dr Martin Luther King Jr St N Suite 108, St Petersburg FL 33701-1547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Simonsen, Andrew Robert can be contacted via phone (727) 456-3288.

Contact Information

Primary practice address
1033 Dr Martin Luther King Jr St N Suite 108 St Petersburg FL 33701-1547
Phone: (727) 456-3288
Fax: (727) 456-3289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X OS 11689 Florida

Profile Details

NPI number 1235327495
LBN Legal business name Simonsen, Andrew Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Jun 24th, 2014 - about 10 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 1235327495 NPPES
Florida Other 14LY7 BLUE CROSS
Florida MEDICAID 006311700 BLUE CROSS

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