Individual
BRAD DAVID SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD PA
Contact information
Practice address
2141 S HIGHWAY A1A ALT, STE 210 THREE PALMS CENTER, JUPITER, FL 33477-4072
(561) 747-4100
(561) 747-8822
Mailing address
2141 S HIGHWAY A1A ALT, STE 210 THREE PALMS CENTER, JUPITER, FL 33477-4072
(561) 747-4100
(561) 747-8822
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME76183
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
ME76183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254313300
—
FL
Enumeration date
01/09/2006
Last updated
04/19/2020
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