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DR. SALVADOR MIGUEL SIMO M.D.

Addiction Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1962465054

Individual Registrant:
DR. SALVADOR MIGUEL SIMO M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1497 FOREST HILL BLVD STE E  LAKE CLARKE SHORES, FL 33406-6052 US
Tel: 561-433-5687  Fax: --

Contact information for business:
12008 SOUTHSHORE BLVD. STE. 101 WELLINGTON, FL 33414-8502 US
Tel: 561-429-3812  Fax: 561-429-3891

Registration Information:
NPI: 1962465054
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QA0401XAllopathic & Osteopathic Physicians
Family Medicine
Addiction Medicine
FL0044968
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
FL0044968

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
043524400FL05




HEALTH CARE JOBS FL - Page 1



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