Individual
CHARLES J SMITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 5TH ST S STE 306, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 955-5000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0095853
MD
2086S0120X
Pediatric Surgery Physician
216139
MA
2086S0120X
Pediatric Surgery Physician
ME138873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
05/31/2006
Last updated
11/19/2025
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