Simon Isaac M D P a

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME95429 Issued in FL

Legal business name

SIMON ISAAC M D P A

Practice address

448 S Milwee St
Longwood, FL 32750-4163

Phone

(407) 767-2996

Fax

(407) 767-0296

NPI assigned

Nov 26, 2007

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Simon B Isaac, M.D.

Title

President

Phone

(407) 968-5218

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1770764250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915259",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327915259",
            "telephone_number": "407-767-2996",
            "fax_number": "407-767-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 S MILWEE ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504163",
            "telephone_number": "407-767-2996",
            "fax_number": "407-767-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON ISAAC M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-968-5218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME95429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Shriver, DPT
• Nabil Ahmed Siddiqi, M.D.
• Anna Silva
• Joshua Simmons
• Stephanie Simmons, PT
• Simonmed Imaging Florida LLC (Simonmed Imaging Longwood)
• Janis Halker Simpson, LMHC, LMFT
• Martha Lucia Sims, MS, LMHC
• Balraj Singh, MD
• Sandeep Singhvi

• Clinic/Center in Longwood, FL
• Providers in Longwood, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.