Organization
SMH PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A SHIREY (ADMINISTRATOR)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1950 ARLINGTON ST, SUITE 101, SARASOTA, FL 34239-3507
(941) 917-3400
(941) 917-4300
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS OF FL
FL
05
—
376537700
—
FL
Enumeration date
05/10/2016
Last updated
05/10/2016
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