Smith, Cleatious David

Smith, Cleatious David is an individual health care provider with primary practice located at 14088 Alabama St , Jay FL 32565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Cleatious David can be contacted via phone (850) 675-4546.

Contact Information

Primary practice address
14088 Alabama St Jay FL 32565
Fax: (850) 675-4548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME36891 Florida

Profile Details

NPI number 1871546515
LBN Legal business name Smith, Cleatious David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 28th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871546515 NPPES
Florida Other 0166758 UNITED HEALTHCARE
Florida Other 21333 UNITED HEALTHCARE
Florida Other 57089 UNITED HEALTHCARE
Florida MEDICAID 660022102 UNITED HEALTHCARE
Florida MEDICAID 039350900 UNITED HEALTHCARE
Florida Other 1050038 UNITED HEALTHCARE
Florida Other 21333 UNITED HEALTHCARE
Florida Other 57089 UNITED HEALTHCARE
Florida Other 59116861 UNITED HEALTHCARE
Florida Other 592014611B UNITED HEALTHCARE
Florida Other A093 UNITED HEALTHCARE
Florida Other N146 UNITED HEALTHCARE
Florida Other 0166758 UNITED HEALTHCARE
Florida Other 593216460A06 UNITED HEALTHCARE
Florida Other 59024373 UNITED HEALTHCARE
Florida MEDICAID 660022100 UNITED HEALTHCARE
Florida Other 0166758 UNITED HEALTHCARE
Florida Other 1050038 UNITED HEALTHCARE
Florida Other 5309586 UNITED HEALTHCARE
Florida Other 541009001 UNITED HEALTHCARE
Florida Other P00017879 UNITED HEALTHCARE
Florida Other 000800449 UNITED HEALTHCARE
Florida Other 5309586 UNITED HEALTHCARE
Florida Other 051128 UNITED HEALTHCARE
Florida Other 1871546515 UNITED HEALTHCARE
Florida Other 21333 UNITED HEALTHCARE
Florida Other 5309586 UNITED HEALTHCARE
Florida Other 57089 UNITED HEALTHCARE
Florida Other 592014611B UNITED HEALTHCARE

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