Fred L Simon MD PA
Surgery in Lake Worth, FL. Organization (NPI-2).
NPI number1003001488
StatusActive
Last updated in NPPESJan 21, 2008
Details
- NPI
- 1003001488
- Entity type
- Organization (NPI-2)
- Legal business name
- Fred L Simon MD PA
- Organization subpart
- No
- Enumeration date
- Sep 10, 2007
- Last updated
- Jan 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME30854 | FL | Yes |
Practice location
4665 S Congress AveSuite 102
Lake Worth, FL 33461-4754
Phone 561-649-0243 · Fax 561-649-4132
Mailing address
Po Box 20689West Palm Beach, FL 33416-0689
Phone 561-642-0243 · Fax 561-649-4132
Authorized official
Fred L Simon
President
5616420243
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