Smith, Charles Lee
Smith, Charles Lee is an individual health care provider with primary practice located at 3600 Red Rd Ste 501 , Miramar FL 33025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Smith, Charles Lee can be contacted via phone (954) 947-3290.Contact Information
Primary practice address
3600 Red Rd Ste 501
Miramar FL 33025
Phone: (954) 947-3290
Fax: (866) 572-2146
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | OS15367 | Florida |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 832 | West Virginia |
Profile Details
NPI number | 1841419058 |
---|---|
LBN Legal business name | Smith, Charles Lee |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2007 |
Last updated | Aug 24th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841419058 | NPPES |
West Virginia | Other | 832 | STATE LICENSE |
West Virginia | Other | OS15367 | STATE LICENSE |
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