Individual
DR. DAVID E SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 RIDGE ST, NAPLES, FL 34103-4211
(239) 643-1155
(239) 643-9816
Mailing address
PO BOX 8089, NAPLES, FL 34101-8089
(239) 643-1155
(239) 643-9816
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME45941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044619000
—
FL
01
—
300017964
RR MEDICARE
FL
01
—
300056341
RR MEDICARE
FL
Enumeration date
08/19/2005
Last updated
02/15/2012
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