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Individual
PETER CHRISTIAN SMITH
Active
Individual
PETER CHRISTIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0057479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064436600
—
FL
01
—
10895
BLUE CROSS BLUE SHIELD
FL
01
—
4673934
AETNA
FL
01
—
6347792
CIGNA
FL
01
—
990010535
RAILROAD MEDICARE
FL
Enumeration date
10/19/2006
Last updated
04/08/2008
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