Paul Simon MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME29327 Issued in FL

Legal business name

PAUL SIMON MD PA

Practice address

1250 E Hallandale Beach Blvd
#800
Hallandale Beach, FL 33009-4634

Phone

(954) 456-5050

Fax

(954) 456-5095

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Paul Edwin Simon, MDNPI 1629070115

Title

Physician/Owner

Phone

(954) 456-5050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Edwin Simon, MD

  • Dermatology Physician
  • Hallandale Beach, FL
  • NPI 1629070115
  NPD Authorized official

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1962404533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "#800",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-456-5050",
            "fax_number": "954-456-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "#800",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-456-5050",
            "fax_number": "954-456-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL SIMON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-456-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME29327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Patete, PHD
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• Path Medical, LLC
• Patient First Medical Center, Inc.
• Alexander Patsiornik, ARNP, PMHNP
• Elena Pavlyuk, FNP
• Peace of Mind Therapy, Inc.
• Pediatric Hospitalist of South Florida PA
• Sharon Pedrosa, PSYD
• Luana Pedrozo, PT

• Dermatology Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.