Smith, Mark Anthony

Smith, Mark Anthony is an individual health care provider with primary practice located at 4620 N Habana Ave Suite 101, Tampa FL 33614-7107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Smith, Mark Anthony can be contacted via phone (813) 875-9362.

Contact Information

Primary practice address
4620 N Habana Ave Suite 101 Tampa FL 33614-7107
Phone: (813) 875-9362
Fax: (813) 876-7055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME38809 Florida

Profile Details

NPI number 1881669422
LBN Legal business name Smith, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Dec 12th, 2010 - about 15 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 1881669422 NPPES
Florida Other 161540500 US DEPT OF LABOR
Florida Other 210647 US DEPT OF LABOR
Florida Other 290005684 US DEPT OF LABOR
Florida MEDICAID 067400100 US DEPT OF LABOR
Florida Other 30549 US DEPT OF LABOR
Florida Other 33614A003 US DEPT OF LABOR

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