Individual
DR. MARIA D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 755-4432
Mailing address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 755-4432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0069118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071674
VISTA HP
—
01
—
1635516001
CIGNA
—
05
—
251174600
—
FL
01
—
277591
AVMED
—
01
—
44219
BCBS
FL
01
—
5575526
AETNA
—
01
—
593537428
PEDICARE
—
Enumeration date
04/27/2006
Last updated
12/10/2020
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