Individual
MATTHEW H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 585-4807
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 585-4807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA042340
NJ
207R00000X
Internal Medicine Physician
ME111177
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MA042340
NJ
207RP1001X
Pulmonary Disease Physician
MA042340
NJ
207RP1001X
Pulmonary Disease Physician
Primary
ME111177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004108600
—
FL
01
—
1087650
CAREPLUS
FL
01
—
1126783
CIGNA
FL
01
—
14H4C
BCBS
FL
05
—
2221004
—
NJ
01
—
353081
UNITED
FL
01
—
4288540
AETNA
FL
Enumeration date
07/26/2006
Last updated
01/21/2014
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