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Organization
RICKY SIMOVITZ MD PA
Active
Organization
RICKY SIMOVITZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY GRAY (CREDENTIALING)
(941) 377-7622
Entity
Organization
Contact information
Practice address
722 THE RIALTO, VENICE, FL 34285-3524
(941) 484-8792
(941) 488-3981
Mailing address
5824 BEE RIDGE RD, PMB 315, SARASOTA, FL 34233-5065
(941) 377-7622
(941) 342-3405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MEE0036885
FL
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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