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Individual

PETER CHRISTIAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
610 LAKEVIEW ROAD, CLEARWATER, FL 33756
(727) 446-7578
(727) 447-1716
Mailing address
610 LAKEVIEW ROAD, CLEARWATER, FL 33756
(727) 446-7578
(727) 447-1716

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0057479
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
064436600
FL
01
10895
BLUE CROSS BLUE SHIELD
FL
01
4673934
AETNA
FL
01
6347792
CIGNA
FL
01
990010535
RAILROAD MEDICARE
FL
Enumeration date
10/19/2006
Last updated
04/08/2008
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