Organization
DAVID R SIMON MD PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R SIMON MD PHD (MEDICAL DOCTOR)
(954) 472-2007
Entity
Organization
Contact information
Practice address
201 N UNIVERSITY DR, SUITE 106, PLANTATION, FL 33324-2039
(954) 472-2007
(954) 472-2114
Mailing address
201 N UNIVERSITY DR, SUITE 106, PLANTATION, FL 33324-2039
(954) 472-2007
(954) 472-2114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0024567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406183465
RAILROAD MEDICARE
FL
01
—
AK982
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/10/2008
Last updated
06/21/2018
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