Individual
DAVID T SMUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 W COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 841-6600
(321) 841-4085
Mailing address
21 W COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 841-6600
(321) 841-4085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0050892
FL
207R00000X
Internal Medicine Physician
Primary
ME50892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064254100
—
FL
Enumeration date
06/01/2005
Last updated
02/08/2011
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