Provider Demographics
NPI:1700895653
Name:TSINKER, SIMION Z (MD)
Entity Type:Individual
Prefix:
First Name:SIMION
Middle Name:Z
Last Name:TSINKER
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 1:7400 N.W. 42 CT.
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:954-749-1314
Mailing Address - Fax:
Practice Address - Street 1:6710 W SUNRISE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6066
Practice Address - Country:US
Practice Address - Phone:954-316-0048
Practice Address - Fax:954-316-8259
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039408207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00506OtherSTAYWELLWELLCARE
FL0784453OtherUNITED HEALTH CARE
FL004119OtherAVMED
FLD27760Medicare UPIN
FL0784453OtherUNITED HEALTH CARE