Individual
DR. LEE DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2451 N MCMULLEN BOOTH RD, #206, CLEARWATER, FL 33759-1356
(727) 789-4556
Mailing address
PO BOX 15654, CLEARWATER, FL 33766-5654
(727) 789-4556
(813) 925-1435
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029712700
—
FL
Enumeration date
11/23/2006
Last updated
08/16/2010
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