Individual
DR. MICHAEL THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
801 2ND ST N STE 7, SAFETY HARBOR, FL 34695-3503
(727) 725-8820
Mailing address
801 2ND ST N STE 7, SAFETY HARBOR, FL 34695-3503
(727) 725-8820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73908
BCBS
FL
Enumeration date
02/16/2007
Last updated
03/07/2008
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