Doctor Name: | MARK A SIMON |
NPI Number: | 1083654081 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME55192 |
Business Practice Address: | 5401 S Congress Ave #102 Atlantis, FL - 334626635 |
Business Phone Number: | 5619675033 |
Business Fax Number: | 5619678974 |
Mailing Address: | 5700 Lake Worth Rd, #204 GREENACRES |
State: | FL |
Postal Code: | 334634727 |
Phone Number: | 5619687968 |
Fax Number: | 5619644603 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 10/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | ME55192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |