Simo, Salvador Miguel

Simo, Salvador Miguel is an individual health care provider with primary practice located at 1497 Forest Hill Blvd Ste E , Lake Clarke Shores FL 33406-6052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Simo, Salvador Miguel can be contacted via phone (561) 433-5687.

Contact Information

Primary practice address
1497 Forest Hill Blvd Ste E Lake Clarke Shores FL 33406-6052
Phone: (561) 433-5687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 0044968 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0044968 Florida

Profile Details

NPI number 1962465054
LBN Legal business name Simo, Salvador Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962465054 NPPES
Florida MEDICAID 043524400

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