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Individual

ELIZABETH ANNE SMITH

Active
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Individual

ELIZABETH ANNE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME61157
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193317
STAYWELL
FL
01
—
2324845
AETNA
FL
01
—
23670
BLUE CROSS AND BLUE SHIEL
FL
01
—
25600
AVMED
FL
05
—
371653800
—
FL
01
—
419864003
CIGNA
FL
01
—
593618517
UNITED HEALTH CARE
FL
Enumeration date
10/11/2005
Last updated
08/22/2019
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