Healthcare Provider Details

I. General information

NPI: 1457351561
Provider Name (Legal Business Name): SIMIE B. PLATT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 S OLD DIXIE HWY STE 304
JUPITER FL
33458-7202
US

IV. Provider business mailing address

3370 BURNS RD SUITE #105
PALM BEACH GARDENS FL
33410-4327
US

V. Phone/Fax

Practice location:
  • Phone: 561-630-8570
  • Fax: 561-630-8572
Mailing address:
  • Phone: 561-630-8570
  • Fax: 561-630-8572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME0071353
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number32156
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: