Doctor Name: | DR. SIMON FRANCIS PELS |
NPI Number: | 1033204516 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PO0000904 |
Business Practice Address: | 10000 Bay Pines Blvd Dept Of Surgery Bay Pines, FL - 33744 |
Business Phone Number: | 7273986661 |
Business Fax Number: | |
Mailing Address: | 10000 Bay Pines Blvd, Dept Of Surgery BAY PINES |
State: | FL |
Postal Code: | 33744 |
Phone Number: | 7273986661 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 01/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | PO0000904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |