# SM PHYSIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396247052
- **Authorized official:** SIOBAN MCDERMOTT MD (OWNER)
- **Authorized official phone:** (321) 368-0292

## Contact information

- **Practice address:** 101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
- **Practice address phone:** (321) 984-4600
- **Mailing address:** 1345 N HIGHWAY A1A APT 610, INDIALANTIC, FL 32903-2765
- **Mailing address phone:** (321) 368-0292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 05/13/2024