Individual
GARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5151 N 9TH AVE, SHMG HOSPITALIST, PENSACOLA, FL 32504-8721
(850) 416-7619
(850) 416-7753
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-7619
(850) 416-7753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD01697
TN
207R00000X
Internal Medicine Physician
Primary
OS13799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010167337
—
VA
05
—
0167370-00
—
FL
Enumeration date
06/14/2006
Last updated
05/02/2016
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