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General NPI Number Information
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NPI Number | 1629615133
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Entity Type | Organization
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Legal Business Name | SIMON HEALTH MEDICAL CENTER, INC
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 8300 W FLAGLER ST STE 124
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City | MIAMI
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State | FL
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Zip | 33144-2096
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Country | US
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Telephone | 305-877-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 W FLAGLER ST STE 124
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City | MIAMI
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State | FL
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Zip | 33144-2096
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Country | US
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Telephone | 305-877-6650
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | REGIS R SOLENZAL VALDES
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Credential | OWNER
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Telephone | 305-877-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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