SIMON ISAAC M D P A


Address: 448 S Milwee St, Longwood, FL 32750-4163
Phone: 4077672996

SIMON ISAAC M D P A (NPI# 1770764250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770764250
Entity Type Organization
Organization Name SIMON ISAAC M D P A
Practice Address 448 S Milwee St
Longwood
FL 32750-4163
Mailing Address Po Box 915259
Longwood
FL 32791-5259
Practice Telephone 4077672996
Practice Fax Number 4077670296
Mailing Telephone 4077672996
Mailing Fax Number 4077670296
Enumeration Date 2007-11-26
Last Update Date 2008-03-20
Authorized Official Name DR. SIMON B ISAAC (PRESIDENT)
Authorized Official Telephone 4079685218
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center ME95429 FL Ambulatory Health Care Facilities

Office Location

Street Address 448 S MILWEE ST
City LONGWOOD
State FL
Zip Code 32750-4163

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City LONGWOOD
Zip Code 32750

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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