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Individual

DR. TODD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1408 CAMPBELL DR, IRONTON, OH 45638-2301
(740) 533-9710
(937) 619-4150
Mailing address
213 SHILOH CV, LAKE MARY, FL 32746-6900
(407) 804-9202

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-098563
OH
207P00000X
Emergency Medicine Physician
ME70356
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251327700
FL
01
32171
BCBS
FL
Enumeration date
06/01/2005
Last updated
12/03/2012
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