Smuckler, David T

Smuckler, David T is an individual health care provider with primary practice located at 21 W Columbia St , Orlando FL 32806-1133. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smuckler, David T can be contacted via phone (321) 841-6600.

Contact Information

Primary practice address
21 W Columbia St Orlando FL 32806-1133
Phone: (321) 841-6600
Fax: (321) 841-4085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0050892 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME50892 Florida

Profile Details

NPI number 1104828318
LBN Legal business name Smuckler, David T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 8th, 2011 - about 14 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 1104828318 NPPES
Florida MEDICAID 064254100

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