Smith, Stephen E
Smith, Stephen E is an sole proprietor health care provider with primary practice located at 4225 Evans Ave , Fort Myers FL 33901-9311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Stephen E can be contacted via phone (239) 936-8655.Contact Information
Primary practice address
4225 Evans Ave
Fort Myers FL 33901-9311
Phone: (239) 936-8655
Fax: (239) 936-8683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME75617 | Florida |
Profile Details
| NPI number | 1366438855 |
|---|---|
| LBN Legal business name | Smith, Stephen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Feb 25th, 2021 - about 4 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 | 1366438855 | NPPES |
| Florida | MEDICAID | 254549702 |
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