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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
MISS ILENE GILBERT (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
929 S TAMIAMI TRL, SUITE 101, OSPREY, FL 34229-9239
(941) 917-4700
(941) 917-4710
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
—
FL
208000000X
Pediatrics Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS FLORIDA
FL
05
—
376537700
—
FL
Enumeration date
11/02/2005
Last updated
04/30/2014
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