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Individual

DR. DAVID R SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD

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
92834
BCBS PIN
FL
Enumeration date
07/13/2006
Last updated
07/13/2010
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