Provider Demographics
NPI:1396980397
Name:GEORGE, SIMI ((MD))
Entity type:Individual
Prefix:DR
First Name:SIMI
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:(MD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BUDINGER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4123
Mailing Address - Country:US
Mailing Address - Phone:407-498-3540
Mailing Address - Fax:321-843-5863
Practice Address - Street 1:1330 BUDINGER AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4123
Practice Address - Country:US
Practice Address - Phone:407-498-3540
Practice Address - Fax:321-843-5863
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116521207RX0202X, 207RX0202X, 207RH0000X
FLME 116521207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology