Individual
AMY M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
(321) 727-3223
Mailing address
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
(321) 727-3223
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME88562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014537400
—
FL
Enumeration date
04/06/2007
Last updated
06/25/2018
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