MEDICARE: AMBER 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
1	347C00000X	Private Vehicle	8460515	AL

General Provider Information

NPI Number	:	1881548550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER SIMON

Provider Business Mailing Address
First Line	:	1111 E I65 SERVICE RD S STE 104-1231
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-3112
Country	:	US
Telephone Number	:	800-868-9581
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E I65 SERVICE RD S STE 104-1231
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-3112
Country	:	US
Telephone Number	:	800-868-9581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ AMBER SIMON ” Practice Location

Language	Start Address	Practice Location

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