Provider Demographics
NPI:1013144708
Name:SIMEON, FRANTZ (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANTZ
Middle Name:
Last Name:SIMEON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-3508
Mailing Address - Country:US
Mailing Address - Phone:941-896-3110
Mailing Address - Fax:941-896-3117
Practice Address - Street 1:3800 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-3508
Practice Address - Country:US
Practice Address - Phone:195-462-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17,611208D00000X
FLACN323208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice