Simon, Amy M

Simon, Amy M is an individual health care provider with primary practice located at 707 W Eau Gallie Blvd , Melbourne FL 32935-5958. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Simon, Amy M can be contacted via phone (321) 727-3223.

Contact Information

Primary practice address
707 W Eau Gallie Blvd Melbourne FL 32935-5958
Phone: (321) 727-3223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME88562 Florida

Profile Details

NPI number 1407978703
LBN Legal business name Simon, Amy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 25th, 2018 - about 8 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 1407978703 NPPES
Florida MEDICAID 014537400

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