MEDICARE: SIMA D AMIN MD

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	207N00000X	Dermatology Physician	ME173833	FL

General Provider Information

NPI Number	:	1467912006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMA D AMIN MD

Provider Business Mailing Address
First Line	:	1361 13TH AVE S STE 140
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3263
Country	:	US
Telephone Number	:	904-372-8031
Fax Number	:	904-372-6122

Provider Business Practice Location Address
First Line	:	1361 13TH AVE S STE 140
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3263
Country	:	US
Telephone Number	:	904-372-8031
Fax Number	:	904-372-6122

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

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	12/31/2025

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