MEDICARE: THEODORE SIMON DC

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	111N00000X	Chiropractor	CH3233	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	40213	OTHER	FL	BC/BS OF FLORIDA

General Provider Information

NPI Number	:	1265427447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE SIMON DC

Provider Business Mailing Address
First Line	:	PO BOX 997
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34220-0997
Country	:	US
Telephone Number	:	941-776-4000
Fax Number	:	941-845-4963

Provider Business Practice Location Address
First Line	:	1110 E GIBSON ST
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-5011
Country	:	US
Telephone Number	:	863-993-0100
Fax Number	:	863-993-2116

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	04/19/2016

Similar Medicare Providers

1295795441 — SUSAN COBB L.C.S.W
Practice Location Address:

1110 E GIBSON ST
ARCADIA, FL
34266-5011

Practice Phone: 863-494-6222
Practice Fax: 863-494-3227

1417902164 — MR. DALE EDWIN WOLFORD DO
Practice Location Address:

1110 E GIBSON ST
ARCADIA, FL
34266-5011

Practice Phone: 863-494-1918
Practice Fax: 863-993-2116

1083657662 — MILTON M APONTE-TAPIA MD
Practice Location Address:

1110 E GIBSON ST BLDG A
ARCADIA, FL
34266-5011

Practice Phone: 863-494-4433
Practice Fax: 863-993-0119

1578594107 — MCR HEALTH, INC.
Practice Location Address:

1148 E GIBSON ST
ARCADIA, FL
34266-5011

Practice Phone: 863-494-6222
Practice Fax: 941-708-8893

1043305634 — ANA L HERNANDEZ M.D.
Practice Location Address:

1110 E GIBSON ST BLDG A
ARCADIA, FL
34266-5011

Practice Phone: 863-494-4433
Practice Fax: 863-494-4005

1023191251 — PROF. BRENDA DIAZ-LEHMAN PA-C
Practice Location Address:

1110 E GIBSON ST
ARCADIA, FL
34266-5011

Practice Phone: 941-494-6222
Practice Fax:

Directions to “ THEODORE SIMON DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.