Individual
DR. MATTHEW J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1447 MEDICAL PARK BLVD, SUITE 205, WELLINGTON, FL 33414-3164
(561) 798-2425
(561) 798-6356
Mailing address
5431 N UNIVERSITY DR, CORAL SPRINGS, FL 33067-4639
(954) 344-2522
(954) 344-9189
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS5402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057313200
—
FL
Enumeration date
07/19/2006
Last updated
10/10/2012
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