Alan Smith M.D. Llc

LBN: Alan Smith M.D. Llc
Alan Smith M.D. Llc is an health care organization with primary practice located at 1769 66Th St N , St Petersburg FL 33710-5537. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Alan Smith M.D. Llc can be contacted via phone (727) 343-2741, or through Moore, Tony via phone (727) 343-2741.

Contact Information

Primary practice address
1769 66Th St N St Petersburg FL 33710-5537
Phone: (727) 343-2741
Fax: (727) 343-2814
Website:
Map and Directions
Authorized official contact:
Name: Moore, Tony
Phone: (727) 343-2741

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME0044988 Florida

Profile Details

NPI number 1194086124
LBN Legal business name Alan Smith M.D. Llc
DBA Doing business as
Authorized official Moore, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 26th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194086124 NPPES
Florida MEDICAID 042850700

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