Provider Demographics
NPI:1598987943
Name:LAPIDUS, SIMONE (MD)
Entity Type:Individual
Prefix:DR
First Name:SIMONE
Middle Name:
Last Name:LAPIDUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SIMONE
Other - Middle Name:LAPIDUS
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:480 14TH AVE S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-4911
Mailing Address - Country:US
Mailing Address - Phone:443-695-0162
Mailing Address - Fax:
Practice Address - Street 1:480 14TH AVE S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-4911
Practice Address - Country:US
Practice Address - Phone:443-695-0162
Practice Address - Fax:443-695-0162
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2019-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1293212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD035RMedicare ID - Type Unspecified