Organization
SMH PHYSICIAN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SHIREY (EXECUTIVE DIRECTOR)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1540 S TAMIAMI TRL STE 303, SARASOTA, FL 34239-2921
(941) 917-8791
(941) 917-8793
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS
FL
05
—
376537700
—
FL
Enumeration date
02/11/2010
Last updated
04/17/2018
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