Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PO0000904 | FL |
NPI | 1033204516 |
---|---|
Provider Name | Dr. Simon Francis Pels |
First Address | Bay Pines, FL 33744 |
Second Address | Bay Pines, FL 33744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 25/01/2011 |