| Simon Md Pa | |
|
8700 W Flagler St Ste 420 Miami FL 33174-2546 | |
| (305) 608-0656 | |
| (786) 254-7084 |
| Full Name | Simon Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8700 W Flagler St Ste 420, Miami, Florida |
| Authorized Official Name and Position | Jose Miguel Simon Canellas (PRESIDENT) |
| Authorized Official Contact | 3056080656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Md Pa Po Box 831975 Miami FL 33283-1975 Ph: (305) 608-0656 | Simon Md Pa 8700 W Flagler St Ste 420 Miami FL 33174-2546 Ph: (305) 608-0656 |
| NPI Number | 1376806554 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 10/19/2024 |
| Certification Date | 10/19/2024 |
| Medicare PECOS PAC ID | 5294985081 |
|---|---|
| Medicare Enrollment ID | O20121102000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376806554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME112149 (Florida) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | ME112149 (Florida) | Secondary |
| Provider Name | Jose Miguel Simon Canellas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730370768 PECOS PAC ID: 9638203524 Enrollment ID: I20121102000176 |
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