Provider Demographics
NPI:1699733998
Name:ANIDJAR, SIMI RONIT (MD)
Entity type:Individual
Prefix:
First Name:SIMI
Middle Name:RONIT
Last Name:ANIDJAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5555 ANGLERS AVE
Mailing Address - Street 2:STE 24 FLORIDA UNITED RADIOLOGY
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312
Mailing Address - Country:US
Mailing Address - Phone:954-962-6265
Mailing Address - Fax:954-893-9595
Practice Address - Street 1:20900 BISCAYNE BLVD
Practice Address - Street 2:AVENTURA HOSPITAL & MEDICAL CENTER
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-682-7398
Practice Address - Fax:305-937-6988
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME834782085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4108Medicare ID - Type Unspecified
H49545Medicare UPIN