Smith, Dina M.
Smith, Dina M. is an sole proprietor health care provider with primary practice located at 2993 Chica Cir , West Melbourne FL 32904-6805. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Smith, Dina M. can be contacted via phone (321) 759-8380.Contact Information
Primary practice address
2993 Chica Cir
West Melbourne FL 32904-6805
Phone: (321) 759-8380
Fax: (321) 733-0928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT 13583 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT 13583 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | PT13583 | Florida |
Profile Details
| NPI number | 1699809012 |
|---|---|
| LBN Legal business name | Smith, Dina M. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jun 5th, 2008 - about 16 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 | 1699809012 | NPPES |
| Florida | Other | 5470501 | FIRST HEALTH |
| Florida | Other | Y9767 | FIRST HEALTH |
| Florida | MEDICAID | 811612100 | FIRST HEALTH |
| Florida | Other | 2110946 | FIRST HEALTH |
| Florida | MEDICAID | 886247800 | FIRST HEALTH |
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