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Organization
SMH PHYSICIAN SERVICES INC
Active
Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
Pain Mgmt at Heritage Harbor
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE GILBERT COO (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1040 RIVER HERITAGE BLVD, SUITE 201, BRADENTON, FL 34212-6348
(941) 917-4500
(941) 917-4507
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME111784
FL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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