Organization
SMH PHYSICIAN SERVICES INC
Active
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, SUITE 504, SARASOTA, FL 34239-2943
(941) 917-1579
(941) 917-4340
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
—
FL
208600000X
Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS FLORIDA
FL
05
—
376537700
—
FL
Enumeration date
09/04/2009
Last updated
04/16/2018
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