Smith, Matthew L

Smith, Matthew L is an individual health care provider with primary practice located at 17011 State Road 50 Ste 103 , Clermont FL 34711-8203. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Smith, Matthew L can be contacted via phone (310) 721-3793.

Contact Information

Primary practice address
17011 State Road 50 Ste 103 Clermont FL 34711-8203
Phone: (310) 721-3793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X ME98015 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME98015 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME98015 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME98015 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98015 Florida

Profile Details

NPI number 1659361749
LBN Legal business name Smith, Matthew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Apr 26th, 2023 - about last year

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 1659361749 NPPES
Florida MEDICAID 277908100

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