Smith, Michael J

Smith, Michael J is an individual health care provider with primary practice located at 4600 4Th St N , St Petersburg FL 33703-3802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Smith, Michael J can be contacted via phone (727) 527-5272.

Contact Information

Primary practice address
4600 4Th St N St Petersburg FL 33703-3802
Phone: (727) 527-5272
Fax: (727) 522-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME0033957 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME0033957 Florida

Profile Details

NPI number 1750366076
LBN Legal business name Smith, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 16th, 2020 - about 5 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 1750366076 NPPES
Florida MEDICAID 067187800
Florida Other 62163
Florida Other ME33957
Florida Other 200008907

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