Individual
MICHAEL JOHNSON SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(844) 876-0873
Mailing address
567 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 299-1231
(863) 299-1233
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME36347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061591900
—
FL
Enumeration date
06/23/2006
Last updated
06/06/2019
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