Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILENE GILBERT (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1540 S TAMIAMI TRL, 1ST FLOOR, SARASOTA, FL 34239-2930
(941) 917-5700
(941) 917-5784
Mailing address
PO BOX 863407, ORLANDO, FL 32886-0001
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME104779
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME104779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS FLORIDA
FL
05
—
376537700
—
FL
Enumeration date
02/15/2012
Last updated
06/18/2014
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