Organization
PSRA SIMON FAMILY HOLDING LLC
Active
Other names
Sean Simon Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN A SIMON MD (PRESIDENT)
(305) 668-0496
Entity
Organization
Contact information
Practice address
3850 BIRD RD STE 201, MIAMI, FL 33146-1515
(305) 668-0496
(305) 668-0921
Mailing address
3850 BIRD RD STE 201, MIAMI, FL 33146-1515
(305) 668-0496
(305) 668-0921
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ME91069
FL
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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