Individual
DAVID W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0191
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0164
(850) 216-0180
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
027668
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME55402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
1ST MEDICAL NETWORK
FL
05
—
0041756
—
GA
05
—
009978990
—
AL
01
—
01280
UNIVERSAL HEALTH CARE
FL
05
—
061335500
—
FL
Enumeration date
08/25/2005
Last updated
01/13/2017
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