Individual
CARLOS IGNACIO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 BARRACUDA LN, KEY LARGO, FL 33037-3733
(305) 367-2600
(305) 367-4573
Mailing address
50 BARRACUDA LN, KEY LARGO, FL 33037-3733
(305) 367-2600
(305) 367-4573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125480 00
—
FL
01
—
BS7810559
BLUECROSS BLUESHEILD
FL
Enumeration date
05/11/2006
Last updated
09/23/2014
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