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Contact Information

ANDREW R SIMONSEN, DO
1033 DR MARTIN LUTHER KING JR ST N
SUITE 108
SAINT PETERSBURG, FL33701-1547
 Phone: 727-456-3288
 Fax: 727-456-3289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ANDREW R SIMONSEN · (Male)

NPI # 1235327495
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/11/2007
Last updated 06/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS 11689
  • FL Medicaid 006311700
  • FL Other 14LY7 BLUE CROSS
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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