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Organization
RS. VA HOLDINGS LLC
Active
Organization
RS. VA HOLDINGS LLC
Active
Other names
Doc Smith
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBENA SMITH MD (OWNER)
(917) 848-2701
Entity
Organization
Contact information
Practice address
4746 PINNACLE DR, BRADENTON, FL 34208-8497
(917) 848-2701
Mailing address
4746 PINNACLE DR, BRADENTON, FL 34208-8497
(917) 848-2701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108952300
—
FL
Enumeration date
02/14/2023
Last updated
02/14/2023
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