Symeonides, Simon T

Symeonides, Simon T is an individual health care provider with primary practice located at 8745 N Wickham Rd , Melbourne FL 32940-5997. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Symeonides, Simon T can be contacted via phone (321) 434-4225.

Contact Information

Primary practice address
8745 N Wickham Rd Melbourne FL 32940-5997
Phone: (321) 434-4225
Fax: (321) 434-4247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME84573 Florida

Profile Details

NPI number 1417051954
LBN Legal business name Symeonides, Simon T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Dec 31st, 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 1417051954 NPPES
Florida MEDICAID 270712800
Florida Other M1024

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