Smith, Delia A.

Smith, Delia A. is an individual health care provider with primary practice located at 1264 Malabar Rd Se , Palm Bay FL 32907-2556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Smith, Delia A. can be contacted via phone (321) 434-1486.

Contact Information

Primary practice address
1264 Malabar Rd Se Palm Bay FL 32907-2556
Phone: (321) 434-1486
Fax: (321) 434-5295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME147647 Florida

Profile Details

NPI number 1487636379
LBN Legal business name Smith, Delia A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Oct 16th, 2023 - about 2 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 1487636379 NPPES
Florida Other RU186 HFMG MA
Florida MEDICAID 108675700 HFMG MA
Florida Other 550033371 HFMG MA

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