Individual
DR. MARK ANTHONY SMITH
Active
Individual
DR. MARK ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME38809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067400100
—
FL
01
—
161540500
US DEPT OF LABOR
FL
01
—
210647
AVMED
FL
01
—
290005684
RAILROAD MEDICARE
FL
01
—
30549
BCBS
FL
01
—
33614A003
CHAMPUS
FL
Enumeration date
02/17/2006
Last updated
12/12/2010
Update your record
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