Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | ME93615 | FL |
N | 2081P2900X | Pain Medicine | ME83615 | FL |
N | 2081S0010X | Sports Medicine | ME93615 | FL |
N | 213ES0000X | Sports Medicine | ME93615 | FL |
NPI | 1033186184 |
---|---|
Provider Name | Dr. Emese Simon |
First Address | Sarasota, FL 34230-2859 |
Second Address | Winthrop, ME 04364-3923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 22/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I51043 | (02) | FL |