Smith, David Alan
Smith, David Alan is an sole proprietor health care provider with primary practice located at 801 S Douglas Rd , Pembroke Pines FL 33025-1355. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, David Alan can be contacted via phone (954) 276-6500.Contact Information
Primary practice address
801 S Douglas Rd
Pembroke Pines FL 33025-1355
Phone: (954) 276-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | BP10038999 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME128674 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35204 | South Carolina |
Profile Details
| NPI number | 1811121957 |
|---|---|
| LBN Legal business name | Smith, David Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2009 |
| Last updated | Apr 16th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811121957 | NPPES |
| South Carolina | MEDICAID | 352040 |
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