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Organization
SMH PHYSICIAN SERVICES INC
Active
Organization
SMH PHYSICIAN SERVICES INC
Active
Parent organization
SMH PHYSICIAN SERVICES INC
Other names
First Physicians Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMH PHYSICIAN SERVICES INC
Authorized official
MRS. MICHELLE A SHIREY (ADMINISTRATOR)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION, SARASOTA, FL 34239-3509
(941) 917-8720
(941) 917-1875
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-8720
(941) 917-1875
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS GROUP #
FL
05
—
376537700
—
FL
Enumeration date
05/22/2006
Last updated
05/13/2022
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