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Individual

RICHARD L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
138 E GORE ST, ORLANDO, FL 32806-1268
(407) 650-0033
Mailing address
138 E GORE ST, ORLANDO, FL 32806-1268
(407) 650-0033

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME 0061686
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250561400
FL
Enumeration date
07/11/2006
Last updated
07/08/2007
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