Smith, Brock Lewis

Smith, Brock Lewis is an individual health care provider with primary practice located at 3251 N Mcmullen Booth Rd Ste 301 , Clearwater FL 33761-2022. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Smith, Brock Lewis can be contacted via phone (727) 669-5300.

Contact Information

Primary practice address
3251 N Mcmullen Booth Rd Ste 301 Clearwater FL 33761-2022
Phone: (727) 669-5300
Fax: (727) 669-5366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA02632 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9117281 Florida

Profile Details

NPI number 1669460986
LBN Legal business name Smith, Brock Lewis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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