Individual
DR. PHILIP C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
699 W COCOA BCH CSWY, SUITE 203, COCOA BEACH, FL 32931
(321) 799-7123
Mailing address
2555 PONCE DE LEON BLVD, 4TH FLOOR, CORAL GABLES, FL 33134-6010
(305) 702-5135
(305) 441-2144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
48315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053226600
—
FL
Enumeration date
05/24/2006
Last updated
12/19/2007
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