Organization
SMH PHYSICIAN SERVICES INC
Active
Other names
First Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE GILBERT-DROGE (COO)
(947) 917-8720
Entity
Organization
Contact information
Practice address
8430 ENTERPRISE CIR, SUITE 130, LAKEWOOD RANCH, FL 34202-4107
(941) 366-3000
(941) 366-3002
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
ME102035
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME22185
FL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME57672
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME80960
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME88696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
FLORIDA BLUE
FL
Enumeration date
09/01/2015
Last updated
09/01/2015
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