Individual
MR. CHADWICK PARRISH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Mailing address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19691
MS
208600000X
Surgery Physician
MD 40449
TN
2086S0102X
Surgical Critical Care Physician
Primary
ME86695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003452700
—
FL
01
—
38234991
MEDICARE PTAN
TN
05
—
38234991
—
TN
01
—
ME86695
MEDICAL LICENSE
FL
Enumeration date
06/22/2006
Last updated
11/11/2016
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