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Organization

LEE D. SMITH, DPM, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE DAVID SMITH DPM (PODIATRIST)
(727) 789-4556
Entity
Organization

Contact information

Practice address
2451 N MCMULLEN BOOTH RD STE 206, CLEARWATER, FL 33759-1362
(727) 789-4556
(813) 925-1435
Mailing address
PO BOX 15654, CLEARWATER, FL 33766-5654
(727) 789-4556
(813) 925-1435

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1914
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029712700
FL
Enumeration date
05/15/2007
Last updated
08/16/2010
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