Doctor Name: | DR. JODI S. SIMKINS |
NPI Number: | 1518956887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME49159 |
Business Practice Address: | 7100 W Camino Real Suite 207 Boca Raton, FL - 334335510 |
Business Phone Number: | 5613912770 |
Business Fax Number: | 5613912930 |
Mailing Address: | 7100 W Camino Real, Suite 207 BOCA RATON |
State: | FL |
Postal Code: | 334335510 |
Phone Number: | 5613912770 |
Fax Number: | 5613912930 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 06/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME49159 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |