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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659361749 | NPPES |
| Florida | MEDICAID | 277908100 |
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