Provider Demographics
NPI:1457351561
Name:PLATT, SIMIE B (MD)
Entity Type:Individual
Prefix:
First Name:SIMIE
Middle Name:B
Last Name:PLATT
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 1:3370 BURNS RD
Mailing Address - Street 2:SUITE #105
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4327
Mailing Address - Country:US
Mailing Address - Phone:561-630-8570
Mailing Address - Fax:561-630-8572
Practice Address - Street 1:1002 S OLD DIXIE HWY STE 304
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7202
Practice Address - Country:US
Practice Address - Phone:561-630-8570
Practice Address - Fax:561-630-8572
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071353207RC0001X
WV32156207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251-6985-00Medicaid
FL32258Medicare ID - Type Unspecified
FL251-6985-00Medicaid