Doctor Name: | SIMEON H. VILCHEZ |
NPI Number: | 1376598581 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16010 |
Business Practice Address: | 597 W 11th St Panama City, FL - 324012330 |
Business Phone Number: | 8508724455 |
Business Fax Number: | 8507475475 |
Mailing Address: | 597 W 11th St, PANAMA CITY |
State: | FL |
Postal Code: | 324012330 |
Phone Number: | 8508724455 |
Fax Number: | 8507475475 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 07/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16010 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |