Individual
CHRISTOPHER DAVID VAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029-5592
(954) 538-5000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS9487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16173
BLUE SHIELD
FL
Enumeration date
06/28/2006
Last updated
02/05/2008
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