Individual
MARK A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1025 S YACHTSMAN DR, SANIBEL, FL 33957-5012
(410) 441-9714
Mailing address
32008 ANCHORAGE LN, GALENA, MD 21635-1821
(410) 441-9714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C1-0007086
DE
2084P0800X
Psychiatry Physician
Primary
ME157826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040241
—
DE
Enumeration date
10/01/2006
Last updated
09/11/2024
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