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Individual

ZACHARY WADE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7551
(702) 962-5641
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
OS20022
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123670300
FL
01
HCNI2
BCBS
FL
Enumeration date
03/27/2020
Last updated
11/07/2025
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