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NPI Code Detail

MEDICARE: DR. INGRID SIMON

MEDICARE:  DR. INGRID  SIMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS47302FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1123456789OTHERUNKNOWN

General Provider Information

NPI Number : 1346844099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INGRID SIMON
Provider Business Mailing Address
First Line : 4260 6TH ST S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-4407
Country : US
Telephone Number : 727-896-3119
Fax Number :
Provider Business Practice Location Address
First Line : 4260 6TH ST S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-4407
Country : US
Telephone Number : 727-896-3119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2020
Last Update Date : 11/24/2020

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Directions to “ DR. INGRID SIMON ” Practice Location

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