Individual
MICHAEL A SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1951 SW 172ND AVE, SUITE 300, MIRAMAR, FL 33029-5593
(954) 499-7696
(954) 499-7699
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME89935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001110900
—
FL
01
—
0195189
GHI
FL
01
—
1193472
WELLCARE
FL
01
—
20784
MEDICA
FL
01
—
2116456
CIGNA
FL
01
—
298813
AVMED
FL
01
—
50359
BLUE CROSS BLUE SHIELD
FL
01
—
69212
HEALTH SUN HEALTH PLAN
FL
01
—
7072759
AETNA
FL
01
—
773707
NHP
FL
01
—
M899351
PREFERRED MEDICAL PLAN
FL
01
—
M899353
PREFERRED MEDICAL PLAN
FL
01
—
P0003130
FLORIDA HEALTHCARE PLUS
FL
01
—
P00956378
RAILROAD MEDICARE
FL
01
—
P01712888
SIMPLY HEALTHCARE
FL
01
—
SG078455
VISTA
FL
Enumeration date
07/20/2005
Last updated
05/08/2017
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