Individual
DR. JAMES O SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MEDICAL PARK DR STE 300, TAMPA, FL 33613-4696
(813) 615-8088
(813) 615-8468
Mailing address
3000 MEDICAL PARK DR STE 300, TAMPA, FL 33613-4696
(813) 615-8088
(813) 615-8468
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0048314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061551000
—
FL
01
—
202371
AVMED
FL
01
—
2500134
UNITED HEALTHCARE
FL
01
—
30898
BCBS
FL
01
—
4047765
AETNA
FL
01
—
60046957
MEDICARE RAILROAD
FL
Enumeration date
01/19/2006
Last updated
01/15/2019
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