Individual
LEONARD SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 JOHNSON ST FL 3, HOLLYWOOD, FL 33021-5421
(954) 265-9976
(954) 965-5396
Mailing address
8950 SW 57TH AVE, PINECREST, FL 33156-2133
(305) 322-4116
(305) 666-2252
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME 0071163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251193299
—
FL
01
—
P00016631
RAILROAD MEDICARE
FL
Enumeration date
10/13/2005
Last updated
03/23/2021
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