Individual
DR. RUSSELL PHILLIP SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 S CONGRESS AVE STE 102, ATLANTIS, FL 33462-6636
(561) 967-5033
(561) 967-5424
Mailing address
7593 W BOYNTON BEACH BLVD STE 220, BOYNTON BEACH, FL 33437-6162
(561) 678-2652
(888) 316-2198
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME162673
FL
Other
Enumeration date
03/22/2017
Last updated
06/12/2023
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