Individual
DR. SALVADOR MIGUEL SIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1497 FOREST HILL BLVD STE E, LAKE CLARKE SHORES, FL 33406-6052
(561) 433-5687
Mailing address
12008 SOUTHSHORE BLVD., STE. 101, WELLINGTON, FL 33414-8502
(561) 429-3812
(561) 429-3891
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
0044968
FL
208000000X
Pediatrics Physician
Primary
0044968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043524400
—
FL
Enumeration date
04/10/2006
Last updated
07/15/2020
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