Individual
DR. GEORGE RAJAN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 CELEBRATION PL FL 2, CELEBRATION, FL 34747-4606
(843) 792-1414
Mailing address
380 CELEBRATION PL FL 2, CELEBRATION, FL 34747-4606
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
30373
SC
207RH0000X
Hematology (Internal Medicine) Physician
ME83970
FL
207RH0003X
Hematology & Oncology Physician
435665
PA
207RX0202X
Medical Oncology Physician
Primary
ME83970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022465770001
—
PA
05
—
259450100
—
FL
01
—
35803
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/01/2006
Last updated
09/18/2020
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