Simonetta, Brandon Andrew

Simonetta, Brandon Andrew is an sole proprietor health care provider with primary practice located at 1865 Lpga Blvd , Daytona Beach FL 32117-7108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Simonetta, Brandon Andrew can be contacted via phone (386) 255-4596.

Contact Information

Primary practice address
1865 Lpga Blvd Daytona Beach FL 32117-7108
Phone: (386) 255-4596
Fax: (386) 258-3561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X TRN25573 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X ME162570 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME162570 Florida

Profile Details

NPI number 1841711819
LBN Legal business name Simonetta, Brandon Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2017
Last updated Nov 11th, 2024 - about 2 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 1841711819 NPPES
Florida MEDICAID 118194400

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