Organization
STEVEN A SIMON, MD
Active
Other names
South Dade Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A SIMON MD (SOLE PROPRIETOR)
(305) 662-2554
Entity
Organization
Contact information
Practice address
8720 N KENDALL DR, SUITE 116, MIAMI, FL 33176-2299
(305) 662-2554
Mailing address
PO BOX 63069, CHARLESTON, SC 29419-3069
(866) 759-4528
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260136201
—
FL
01
—
L8446
BCBS
FL
Enumeration date
10/16/2007
Last updated
12/14/2012
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