Individual
JONATHAN M SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
(317) 705-5047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
67572
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME67572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253640400
—
FL
Enumeration date
03/10/2006
Last updated
03/25/2020
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