Individual
DR. STEPHEN E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 EVANS AVE, FORT MYERS, FL 33901-9311
(239) 936-8655
(239) 936-8683
Mailing address
4225 EVANS AVE, FORT MYERS, FL 33901-9311
(239) 936-8655
(239) 936-8683
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME75617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254549702
—
FL
Enumeration date
09/21/2005
Last updated
02/25/2021
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