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Organization
SMH PHYSICIAN SERVICES INC
Active
Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
First Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILENE GILBERT (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
842 SUNSET LAKE BLVD, SUITE 401, VENICE, FL 34292-7551
(941) 497-8220
(941) 497-8239
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS FLORIDA
FL
05
—
376537700
—
FL
Enumeration date
02/22/2006
Last updated
04/30/2014
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