Individual
MICHAEL DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40107 HIGHWAY 27, DAVENPORT, FL 33837-5901
(863) 419-0692
(863) 419-1695
Mailing address
1420 CELEBRATION BLVD STE 308, CELEBRATION, FL 34747-5161
(407) 599-9899
(305) 946-1029
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01036913A
IN
2085R0001X
Radiation Oncology Physician
021562
TN
2085R0001X
Radiation Oncology Physician
Primary
103176
FL
2085R0001X
Radiation Oncology Physician
H5682
TX
2085R0001X
Radiation Oncology Physician
MD-9852
HI
2085R0001X
Radiation Oncology Physician
MD60295642
WA
2085R0001X
Radiation Oncology Physician
TL3100
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003674000
—
FL
01
—
10L838
HEALTHY KIDS THRU COMMUNITY HEALTH PARTNERS
FL
01
—
1459L
BCBS FL
FL
05
—
200259350
—
IN
01
—
364004
AVMED
FL
01
—
5104065
AETNA
FL
01
—
6067119
CIGNA
FL
01
—
P01174095
RAILROAD MCR
FL
01
—
P116158
FREEDOM HEALTH
FL
01
—
P306917
OPTIMUM
FL
05
—
P513688
—
FL
Enumeration date
06/30/2006
Last updated
04/01/2024
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