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DR. SALVADOR MIGUEL SIMO M.D.
Addiction Medicine >> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1962465054
Individual Registrant:DR. SALVADOR MIGUEL SIMO M.D.
Gender: M
Not Sole Proprietor
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: --
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
Tel: 561-429-3812 Fax: 561-429-3891
Registration Information:
NPI: 1962465054
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207QA0401X | Allopathic & Osteopathic Physicians Family Medicine Addiction Medicine | FL | 0044968 |
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | FL | 0044968 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 043524400 | FL | 05 |
