Organization
FRED L SIMON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED L SIMON MD, FRCS(C) FACS (PRESIDENT)
(561) 642-0243
Entity
Organization
Contact information
Practice address
4665 S CONGRESS AVE, SUITE 102, LAKE WORTH, FL 33461-4754
(561) 649-0243
(561) 649-4132
Mailing address
PO BOX 20689, WEST PALM BEACH, FL 33416-0689
(561) 642-0243
(561) 649-4132
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME30854
FL
Other
Enumeration date
09/10/2007
Last updated
01/21/2008
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