Individual
DR. KEITH J SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 S MOON AVE, BRANDON, FL 33511-5704
(813) 571-6311
(813) 571-6350
Mailing address
321 E ROBERTSON ST, BRANDON, FL 33511-5253
(813) 685-2191
(813) 689-8755
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0057373
FL
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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