Smallwood, Ronald

Smallwood, Ronald is an individual health care provider with primary practice located at 12550 New Brittany Blvd Ste 100 , Fort Myers FL 33907-3655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smallwood, Ronald can be contacted via phone (239) 343-9180.

Contact Information

Primary practice address
12550 New Brittany Blvd Ste 100 Fort Myers FL 33907-3655
Phone: (239) 343-9180
Fax: (239) 343-9188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 009083 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS18519 Florida

Profile Details

NPI number 1457888307
LBN Legal business name Smallwood, Ronald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated Jul 29th, 2022 - about 4 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 1457888307 NPPES
Florida MEDICAID 114147000
Florida Other 88309

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