Individual
STEVEN A SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 SW 87TH AVE, SUITE 101, MIAMI, FL 33173-5426
(305) 662-2554
(305) 662-4441
Mailing address
PO BOX 63069, CHARLESTON, SC 29419-3069
(305) 662-2554
(305) 662-4441
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0037772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02520
BLUE CROSS BLUE SHIELD
FL
05
—
260136201
—
FL
Enumeration date
05/10/2006
Last updated
12/14/2012
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