Individual
DR. BRUCE P. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 SEMINOLE BLVD, SEMINOLE, FL 33772-2562
(727) 393-5428
(727) 399-9037
Mailing address
14690 SPRING HILL DR, SUITE 101, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 799-0042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME18523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78253
BCBS FL
FL
Enumeration date
08/15/2005
Last updated
05/22/2015
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