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Organization
SMH PHYSICIAN SERVICES INC
Active
Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
North Port
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILENE GILBERT (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
2345 BOBCAT VILLAGE CENTER RD, SUITE 201, NORTH PORT, FL 34288-8997
(941) 497-8220
(941) 497-8239
Mailing address
PO BOX 863407, ORLANDO, FL 32886-0001
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376537700
—
FL
Enumeration date
08/05/2010
Last updated
05/30/2013
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