Organization
BRAD D. SIMONS, MD,PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD D SIMONS MD (PHYSICIAN/OWNER)
(561) 747-3937
Entity
Organization
Contact information
Practice address
2141 ALTERNATE A1A S, SUITE 210, JUPITER, FL 33477
(561) 747-3937
(561) 474-7882
Mailing address
2141 ALTERNATE A1A S, SUITE 210, JUPITER, FL 33477
(561) 747-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME76183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254313300
—
FL
01
—
43867
MEDICARE ID
FL
Enumeration date
10/18/2012
Last updated
10/22/2012
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