Individual
JOHN SIEMON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12741 MIRAMAR PKWY STE 302, MIRAMAR, FL 33027-2905
(954) 602-9723
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-1475
(305) 243-4938
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME137033
FL
207VX0201X
Gynecologic Oncology Physician
Primary
ME137033
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN20748
FL
Other
Enumeration date
07/18/2014
Last updated
09/06/2022
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