Provider Demographics
NPI:1639531395
Name:SIMON, REEMA ELALAM (DO)
Entity Type:Individual
Prefix:MRS
First Name:REEMA
Middle Name:ELALAM
Last Name:SIMON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 82969
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33682-2969
Mailing Address - Country:US
Mailing Address - Phone:813-866-0930
Mailing Address - Fax:813-405-3722
Practice Address - Street 1:12410 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5352
Practice Address - Country:US
Practice Address - Phone:813-397-5300
Practice Address - Fax:813-738-9010
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS16186207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine