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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
1040 RIVER HERITAGE BLVD, SUITE 204, BRADENTON, FL 34212-6348
(941) 917-8345
(941) 917-1875
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS
FL
05
—
376537700
—
FL
Enumeration date
03/02/2011
Last updated
04/30/2014
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