Individual
CAROLINE MARGARET SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1431 SW 1ST AVE, OCALA, FL 34471-6500
(352) 401-1417
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T2272
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1R1594
MEDICARE
TX
01
—
1R1603
MEDICARE
TX
05
—
384357503
—
TX
05
—
426648802
—
TX
01
—
8PU522
BCBS
TX
01
—
8PU523
BCBS
TX
Enumeration date
03/23/2018
Last updated
09/27/2021
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