Organization
PETER C SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C. SMITH MD (SUPERVISOR)
(727) 446-7578
Entity
Organization
Contact information
Practice address
610 LAKEVIEW RD, CLEARWATER, FL 33756-3336
(727) 446-7578
(727) 447-1716
Mailing address
610 LAKEVIEW RD, CLEARWATER, FL 33756-3336
(727) 446-7578
(727) 447-1716
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ME57479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064436600
—
FL
01
—
990010535
RAILROAD MEDICARE
FL
Enumeration date
05/22/2007
Last updated
04/08/2008
Update your record
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