Individual
BARRY KIRK SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2979 PGA BLVD, SUITE 100, PALM BEACH GARDENS, FL 33410-2911
(561) 275-7670
(561) 802-5330
Mailing address
2979 PGA BLVD, SUITE 200, PALM BEACH GARDENS, FL 33410-2911
(561) 275-7604
(561) 802-5385
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME31919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069350200
—
FL
01
—
P00621517
RAILROAD MEDICARE
FL
Enumeration date
01/11/2006
Last updated
03/26/2013
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