NPI 1003001488

Fred L Simon MD PA

Organisation Surgery Physician Lake Worth, FL

Practice location

Address: 4665 S Congress Ave Suite 102, Lake Worth, FL 33461-4754
Phone: (561) 649-0243
Fax: (561) 649-4132
Mailing address: PO Box 20689, West Palm Beach, FL 33416-0689

Authorised official

Name: Fred L Simon
Title: President
Phone: (561) 642-0243

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence ME30854 (FL)

Other Surgery providers in Florida →

Registry record

NPI: 1003001488
Entity type: Organization
NPI issued: 10 Sep 2007
Record last updated: 21 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.