Individual
YAMEN SMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3338
(321) 841-2170
Mailing address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3338
(321) 841-2170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301086030
MI
208000000X
Pediatrics Physician
7325
SD
208000000X
Pediatrics Physician
ME117408
FL
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME117408
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN18047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009606900
—
FL
Enumeration date
05/11/2007
Last updated
07/02/2019
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