# DAVID R SIMON MD PHD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154585016
- **Authorized official:** DR. DAVID R SIMON MD PHD (MEDICAL DOCTOR)
- **Authorized official phone:** (954) 472-2007

## Contact information

- **Practice address:** 201 N UNIVERSITY DR, SUITE 106, PLANTATION, FL 33324-2039
- **Practice address phone:** (954) 472-2007
- **Practice address fax:** (954) 472-2114
- **Mailing address:** 201 N UNIVERSITY DR, SUITE 106, PLANTATION, FL 33324-2039
- **Mailing address phone:** (954) 472-2007
- **Mailing address fax:** (954) 472-2114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0024567 | FL | Yes |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 406183465 | RAILROAD MEDICARE | FL |
| 01 | — | AK982 | BLUE CROSS BLUE SHIELD | FL |