Organization
ESSERE VERO MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M SMITH MD (PHYSICIAN)
(352) 536-6002
Entity
Organization
Contact information
Practice address
2105 HARTWOOD MARSH RD, SUITE 9, CLERMONT, FL 34711-5389
(352) 536-6002
(352) 536-6018
Mailing address
2105 HARTWOOD MARSH RD, SUITE 9, CLERMONT, FL 34711-5389
(352) 536-6002
(352) 536-6018
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
98015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277908100
—
FL
Enumeration date
05/14/2014
Last updated
05/14/2014
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