Individual
KYLE A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3415 LEE BLVD, LEHIGH ACRES, FL 33971-1576
(239) 344-2367
(239) 368-5483
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
(239) 226-4650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273769800
—
FL
Enumeration date
11/03/2005
Last updated
09/30/2020
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