Individual
MICHELLE SOFIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SHERIDAN ST, HOLLYWOOD, FL 33021-3516
(954) 967-6400
(954) 966-6661
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 966-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 122751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014415900
—
FL
Enumeration date
04/11/2012
Last updated
09/10/2020
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