Smith, Michael E

Smith, Michael E is an individual health care provider with primary practice located at 2111 Glenwood Dr Suite 104, Winter Park FL 32792. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Smith, Michael E can be contacted via phone (407) 647-1550.

Contact Information

Primary practice address
2111 Glenwood Dr Suite 104 Winter Park FL 32792
Phone: (407) 647-1550
Fax: (407) 647-1561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2033 Florida

Profile Details

NPI number 1902975105
LBN Legal business name Smith, Michael E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated May 17th, 2018 - about 6 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 1902975105 NPPES
Florida Other 59-2580012 TAX ID
Florida MEDICAID 340400500 TAX ID

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