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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104828318 | NPPES |
Florida | MEDICAID | 064254100 |
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