Organization
SIMO AND BRUCK PEDIATRICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL SIMO (PRESIDENT)
(561) 791-1935
Entity
Organization
Contact information
Practice address
10111 W FOREST HILL BLVD RM 150, WELLINGTON, FL 33414-6157
(561) 791-1935
Mailing address
10111 W FOREST HILL BLVD RM 150, WELLINGTON, FL 33414-6157
(561) 791-1935
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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