Organization
ALL CHARACTER CARE
Active
Parent organization
MATTTHEW L SMITH
Other names
Matthew L Smith
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATTTHEW L SMITH
Authorized official
HEATHER DIAZ (MANAGER)
(310) 721-3793
Entity
Organization
Contact information
Practice address
17011 STATE ROAD 50 STE 103, CLERMONT, FL 34711-8203
(310) 721-3793
Mailing address
13900 COUNTY ROAD 455, SUITE107-404, CLERMONT, FL 34711-9052
(310) 721-3793
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
606281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277908100
—
FL
Enumeration date
03/20/2017
Last updated
05/08/2023
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