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General NPI Number Information
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NPI Number | 1912917105
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Entity Type | Individual
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Provider Name | JUAN A SIMON MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 10401 SW 40 ST CAC FORIDA MEDICAL CENTER
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 305-222-2000
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Fax | 305-222-2092
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR
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City | MIAMI
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State | FL
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Zip | 33126-2055
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Country | US
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Telephone | 305-221-6551
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME26353
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License Number State | FL
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