Organization
SOUTH FLORIDA CENTER OF GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J SMITH DO (PRESIDENT)
(561) 798-2425
Entity
Organization
Contact information
Practice address
10115 FOREST HILL BLVD, SUITE 100, WELLINGTON, FL 33414
(561) 798-2425
(561) 798-6356
Mailing address
10115 FOREST HILL BLVD, SUITE 100, WELLINGTON, FL 33414
(561) 798-2425
(561) 798-6356
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
05-5402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057313200
—
FL
Enumeration date
02/24/2006
Last updated
03/07/2023
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