Smull, David L.
Smull, David L. is an sole proprietor health care provider with primary practice located at 1223 Gateway Dr Ste 2F , Melbourne FL 32901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Smull, David L. can be contacted via phone (321) 361-5552.Contact Information
Primary practice address
1223 Gateway Dr Ste 2F
Melbourne FL 32901
Phone: (321) 361-5552
Fax: (321) 409-2517
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | OS16292 | Florida |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS16292 | Florida |
Profile Details
NPI number | 1386603934 |
---|---|
LBN Legal business name | Smull, David L. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 22nd, 2006 |
Last updated | Nov 3rd, 2023 - about 2 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 | 1386603934 | NPPES |
Florida | Other | LN948 | MEDICARE |
Florida | MEDICAID | 103960800 | MEDICARE |
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