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SIMO AND BRUCK PEDIATRICS,LLC
NPI 1093931651
Pediatrics - Adolescent Medicine in Wellington, FL

Active since April 18, 2007CLIA 10D0938372 · Waiver
10111 W FOREST HILL BLVD RM 150, WELLINGTON, FL 33414(561) 791-1935 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simo And Bruck Pediatrics,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMO AND BRUCK PEDIATRICS,LLC (NPI 1093931651) is a healthcare organization registered as an adolescent medicine in Wellington, Florida and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Miguel Simo, President, as its authorized official.

NPPES Registry Identity

NPI1093931651
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSIMO AND BRUCK PEDIATRICS,LLC
Location Address10111 W FOREST HILL BLVD RM 150Wellington, FL 33414-6157
Mailing Address10111 W Forest Hill Blvd Rm 150Wellington, FL 33414-6157 · (561) 791-1935
Phone(561) 791-1935
Organization SubpartNo
Authorized OfficialMiguel SimoPresident · (561) 791-1935
Enumeration DateApril 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093931651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
10111 W FOREST HILL BLVD RM 150, Wellington, FL 33414
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0938372

Simo And Bruck Pediatrics LLC · Wellington, FL
Active · expires Jan 5, 2028
CLIA Number10D0938372
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorS Miguel Simo
Laboratory Phone(561) 791-1935
Laboratory LocationSimo And Bruck Pediatrics LLC10115 W Forest Hill Blvd Ste 402, Wellington, FL 33414
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simo And Bruck Pediatrics,llc's NPI number?

The NPI number for Simo And Bruck Pediatrics,llc is 1093931651. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Simo And Bruck Pediatrics,llc located?

Simo And Bruck Pediatrics,llc is located at 10111 W Forest Hill Blvd Rm 150, Wellington, FL 33414. The listed phone number is (561) 791-1935.

What is Simo And Bruck Pediatrics,llc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Simo And Bruck Pediatrics,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0938372) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simo And Bruck Pediatrics,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.