Individual
SPENCER SMODISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
Mailing address
2775 SW BEAR PAW TRL, PALM CITY, FL 34990-7938
(772) 240-2256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS21126
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2021
Last updated
12/30/2025
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