| Bradley Simon Dcpa | |
|
8771 Nw 50th St, Lauderhill, FL 33351-5403 | |
| (954) 242-7568 | |
| (954) 323-2401 |
| Full Name | Bradley Simon Dcpa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8771 Nw 50th St, Lauderhill, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033215884 | NPI | - | NPPES |
| 3819302 00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8265 (Florida) | Primary |
| Provider Name | Bradley Ira Simon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720059959 PECOS PAC ID: 1254378029 Enrollment ID: I20050414000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Simon Dcpa 8771 Nw 50th St, Lauderhill, FL 33351-5403 Ph: (954) 242-7568 | Bradley Simon Dcpa 8771 Nw 50th St, Lauderhill, FL 33351-5403 Ph: (954) 242-7568 |
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