Organization
RICHARD L SMITH MD PA
Active
Other names
Pain Relief Centers
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE LAWSON (CHIEF ADMINISTRATIVE OFFICER)
(813) 549-2134
Entity
Organization
Contact information
Practice address
1724 33RD ST STE 200, ORLANDO, FL 32839-8858
(407) 641-5472
Mailing address
504 N REO ST, TAMPA, FL 33609-1013
(813) 549-2134
(813) 870-1383
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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