Individual
MICHAEL SETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7540 W UNIVERSITY AVE, GAINESVILLE, FL 32607-7609
(352) 647-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TRN13096
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME105509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005530000
—
FL
Enumeration date
08/29/2008
Last updated
10/13/2023
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