Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 17,611 | PR |
Y | 208D00000X | General Practice Physician | ACN323 | FL |
NPI | 1013144708 |
---|---|
Provider Name | Dr. Frantz Simeon |
First Address | Bradenton, FL 34205-3508 |
Second Address | Bradenton, FL 34205-3508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2009 |
Last Update Date | 27/01/2022 |