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Organization
SMH PHYSICIAN SERVICES, INC
Active
Organization
SMH PHYSICIAN SERVICES, INC
Active
Other names
First Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A SHIREY (FPG ADMINISTRATOR)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1825 DR MARTIN LUTHER KING WAY, SARASOTA, FL 34234-2525
(941) 952-4123
(941) 952-4101
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS OF FL
FL
05
—
376537700
—
FL
Enumeration date
04/20/2017
Last updated
04/20/2017
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