Individual
RICHARD MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
PO BOX 10030, DAYTONA BEACH, FL 32120-0030
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME56652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062714300
—
FL
01
—
10193
BLUE CROSS OF FLORIDA
FL
01
—
221448
AMERIGROUP
FL
Enumeration date
06/15/2006
Last updated
08/03/2009
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