Individual
LAWRENCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(561) 655-5511
Mailing address
PO BOX 863481, ORLANDO, FL 32886-3481
(800) 514-1494
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0007869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256831400
—
FL
01
—
46867
BCBS
FL
01
—
P00270737
RR MCR
FL
Enumeration date
03/14/2006
Last updated
12/06/2007
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