Organization
ERICA SMITHBERGER M.D., P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA SMITHBERGER M.D. (PRESIDENT)
(813) 752-0757
Entity
Organization
Contact information
Practice address
2010 THONOTOSASSA RD, PLANT CITY, FL 33563-2941
(813) 752-0757
(813) 752-0753
Mailing address
13207 BURNES LAKE DR, TAMPA, FL 33612-1825
(813) 752-0757
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME100370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184889529
INDIVIDUAL NPI
FL
01
—
BQ6062
MEDICARE PTAN
FL
Enumeration date
03/19/2014
Last updated
01/10/2018
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