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Individual

DR. TOBY L SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 BROKEN SOUND PKWY, STE 400, BOCA RATON, FL 33487-3513
(561) 859-9315
(610) 290-9104
Mailing address
900 BROKEN SOUND PKWY, STE 400, BOCA RATON, FL 33487-3513
(561) 859-9315
(610) 290-9104

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
ME97808
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220031501
MEDICARE RR
05
619257
AZ
05
93353758
CO
05
G6008
NM
01
NM009U29
BLUE SHIELD
NM
Enumeration date
07/14/2006
Last updated
08/22/2013
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