Individual
MICHAEL E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2111 GLENWOOD DR, SUITE 104, WINTER PARK, FL 32792
(407) 647-1550
(407) 647-1561
Mailing address
3165 MCCRORY PL, STE 174, ORLANDO, FL 32803-3727
(407) 423-1234
(407) 517-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340400500
—
FL
01
—
59-2580012
TAX ID
FL
Enumeration date
11/06/2006
Last updated
05/17/2018
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