Organization
SMH PHYSICIAN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SHIREY (EXECUTIVE DIRECTOR)
(941) 917-8720
Entity
Organization
Contact information
Practice address
5350 UNIVERSITY PKWY, SUITE 200, SARASOTA, FL 34243-5812
(941) 917-8300
(941) 917-4039
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME91036
FL
207VG0400X
Gynecology Physician
—
FL
207VX0000X
Obstetrics Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS FLORIDA
FL
05
—
376537700
—
FL
Enumeration date
01/16/2009
Last updated
04/17/2018
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