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FRED L SIMON MD PA NPI 1003001488

NPI Profile

NPI: 1003001488
Provider Name: FRED L SIMON MD PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
4665 S CONGRESS AVE
SUITE 102
LAKE WORTH, FL
ZIP 33461
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Phone: (561) 649-0243

FRED L SIMON MD PA is a healthcare provider in Lake Worth, FL.The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. FRED L SIMON MD PA NPI is 1003001488. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4665 S CONGRESS AVE
SUITE 102
LAKE WORTH, FL
ZIP 33461-754
Phone: (561) 649-0243
Fax: (561) 649-4132

The provider's authorized official is Fred L Simon .
The authorized official title is President and has the following contact phone number (561) 642-0243.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 1/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryME30854FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/8/2019

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