Individual
BALLARD F SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 MANATEE AVE W, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-1958
Mailing address
PO BOX 637800, CINCINNATI, OH 45263-7800
(941) 748-2277
(941) 748-1958
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0029138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059844500
—
FL
01
—
P01110043
RAILROAD MEDICARE
FL
Enumeration date
12/21/2005
Last updated
08/25/2014
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