# SMH PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Mgmt at Heritage Harbor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699189449
- **Authorized official:** ILENE GILBERT COO (COO)
- **Authorized official phone:** (941) 917-8720

## Contact information

- **Practice address:** 1040 RIVER HERITAGE BLVD, SUITE 201, BRADENTON, FL 34212-6348
- **Practice address phone:** (941) 917-4500
- **Practice address fax:** (941) 917-4507
- **Mailing address:** PO BOX 863407, ORLANDO, FL 32886-3407
- **Mailing address phone:** (941) 917-2600
- **Mailing address fax:** (941) 917-7884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME111784 | FL | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/19/2014