Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME94929 | FL |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 94929 | FL |
NPI | 1124048236 |
---|---|
Provider Name | Dr. Ryan W Simovitch |
First Address | New York, NY 10087-2076 |
Second Address | West Palm Beach, FL 33401-2711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 29/04/2021 |