Individual
LISA SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4075 STATE ROAD 7, H1, LAKE WORTH, FL 33449-8186
(561) 967-5761
(561) 967-5762
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(561) 967-5761
(561) 967-5762
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME84204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264074100
—
FL
Enumeration date
10/17/2005
Last updated
08/28/2014
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