| Simon Isaac M D P A | |
|
448 S Milwee St Longwood FL 32750-4163 | |
| (407) 767-2996 | |
| (407) 767-0296 |
| Full Name | Simon Isaac M D P A |
|---|---|
| Speciality | Clinic/center |
| Location | 448 S Milwee St, Longwood, Florida |
| Authorized Official Name and Position | Simon B Isaac (PRESIDENT) |
| Authorized Official Contact | 4079685218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Isaac M D P A Po Box 915259 Longwood FL 32791-5259 Ph: (407) 767-2996 | Simon Isaac M D P A 448 S Milwee St Longwood FL 32750-4163 Ph: (407) 767-2996 |
| NPI Number | 1770764250 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770764250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME95429 (Florida) | Primary |
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