Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
First Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A SHIREY (EXECUTIVE DIRECTOR)
(941) 917-8720
Entity
Organization
Contact information
Practice address
1921 WALDEMERE ST STE 701, SARASOTA, FL 34239-2913
(941) 487-2160
(941) 487-2170
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS OF FL
FL
05
—
376537700
—
FL
Enumeration date
12/08/2017
Last updated
03/17/2018
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