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Deactivated NPI 1003625062 Deactivated / Inactive NPI Male Practitioner

David Ernesto Simon , APRN

Nurse Practitioner • Pembroke Pines, FL

Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Simon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2025
NPI Deactivation Date February 04, 2025
Total Practice Duration ~1 Years of Practice (2025 – 2025)

Professional Overview & Biography Verified Profile Summary

David Simon, APRN was a registered Nurse Practitioner practicing in Pembroke Pines, FL. Throughout an active medical career spanning 1 years, David Simon provided care at the practice location at 10794 PINES BLVD STE 202 until profile deactivation on 2025-02-04.

David Simon was affiliated with The Clinicians, Llc and did not directly accept Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Practice Location & Contact Primary Location

Practice Address

10794 Pines Blvd Ste 202

Pembroke Pines, FL 330263920

Telephone 9545895958
Fax 9545895785
Associated Practice Facility / Clinic
🏢 Medica One Health Llc Facility NPI 1285358606

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pembroke Pines, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
102 Specialists

Practicing in Pembroke Pines, FL (8990 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simon (1 Years) 1 Yrs
Pembroke Pines Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL 11044982

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License CT 016395

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CA RN95262723

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License FL RN9516152

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CT 213330

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

The Clinicians, Llc

21301 Powerline Rd, Boca Raton, FL 334332389

Phone: 8665502212

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1316955388

Doctor of Osteopathic Medicine (D.O.), DAAPM

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Business Mailing Address May 08, 2026

Registered at 21301 POWERLINE RD STE 106, BOCA RATON, FL 334332389 (Tel: 8665502212)

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Updated Practice Location March 23, 2026

Registered at 10794 PINES BLVD STE 202, PEMBROKE PINES, FL 330263920 (Tel: 9545895958)

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Updated Business Mailing Address March 23, 2026

Registered at 10794 PINES BLVD STE 202, PEMBROKE PINES, FL 330263920 (Tel: 9545895785)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2026

Nurse Practitioner (License #11044982 in FL)

📍
Updated Practice Location January 27, 2026

Registered at 801 S DOUGLAS RD, PEMBROKE PINES, FL 330251355 (Tel: 2034908562)

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Updated Business Mailing Address January 27, 2026

Registered at 801 S DOUGLAS RD, PEMBROKE PINES, FL 330251355 (Tel: 2034908562)

👤
Provider Name / Credentials Updated January 27, 2026

Recorded as DAVID SIMON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2026

Registered Nurse (License #RN9516152 in FL)

📍
Updated Practice Location November 26, 2025

Registered at 1260 NE 24TH ST APT 1402, WILTON MANORS, FL 333051347 (Tel: 2034908562)

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Updated Business Mailing Address November 26, 2025

Registered at 1260 NE 24TH ST APT 1402, WILTON MANORS, FL 333051347 (Tel: 2034908562)

👤
Provider Name / Credentials Updated November 26, 2025

Recorded as DAVID SIMON, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2025

Registered Nurse (License #RN9516152 in FL)

⚠️
NPI Profile Deactivated February 04, 2025

Record deactivated on February 04, 2025

NPI Profile Active January 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2025

Registered at 1260 NE 24TH ST APT 1402, WILTON MANORS, FL 333051347 (Tel: 2034908562)

📍
Updated Business Mailing Address January 06, 2025

Registered at 1260 NE 24TH ST APT 1402, WILTON MANORS, FL 333051347 (Tel: 2034908562)

👤
Provider Name / Credentials Updated January 06, 2025

Recorded as DAVID SIMON, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2025

Registered Nurse (License #RN9516152 in FL)

🟢
Initial NPI Registration & Enumeration January 04, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003625062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2025
Last Update: May 08, 2026
Deactivation Date: February 04, 2025
Sole Proprietor: No

Mailing Address

21301 Powerline Rd Ste 106

Boca Raton, FL 334332389

Phone: 8665502212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.