Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
First Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILENE GILBERT IV (COO)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-7760
(941) 917-8782
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS FLORIDA
FL
05
—
376537700
—
FL
Enumeration date
08/17/2006
Last updated
04/30/2014
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