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NPI Code Detail

MEDICARE: BARRY KIRK SIMON M.D.

MEDICARE:   BARRY KIRK SIMON  M.D.
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
12085R0202XDiagnostic Radiology PhysicianME31919FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00621517OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730168477
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY KIRK SIMON M.D.
Provider Business Mailing Address
First Line : 2979 PGA BLVD
Second Line : SUITE 200
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2911
Country : US
Telephone Number : 561-275-7604
Fax Number : 561-802-5385
Provider Business Practice Location Address
First Line : 2979 PGA BLVD
Second Line : SUITE 100
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2911
Country : US
Telephone Number : 561-275-7670
Fax Number : 561-802-5330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 03/26/2013

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Directions to “ BARRY KIRK SIMON M.D.” Practice Location

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