Individual
DR. JUSTIN S. SIMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0152
GA
2085R0202X
Diagnostic Radiology Physician
22767
ND
2085R0202X
Diagnostic Radiology Physician
26464
AL
2085R0202X
Diagnostic Radiology Physician
Primary
ME107009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002174200
—
FL
01
—
148F5
BCBS OF FLORIDA
FL
01
—
676105093C
GA MEDICAID
FL
01
—
P00851142
RR MEDICARE
FL
Enumeration date
11/24/2006
Last updated
08/25/2026
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