Smock, David E

Smock, David E is an individual health care provider with primary practice located at 1441 Ridge St , Naples FL 34103-4211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smock, David E can be contacted via phone (239) 643-1155.

Contact Information

Primary practice address
1441 Ridge St Naples FL 34103-4211
Phone: (239) 643-1155
Fax: (239) 643-9816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME45941 Florida

Profile Details

NPI number 1922090463
LBN Legal business name Smock, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 15th, 2012 - about 13 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 1922090463 NPPES
Florida Other 300056341 RR MEDICARE
Florida MEDICAID 044619000 RR MEDICARE
Florida Other 300017964 RR MEDICARE

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