Smith, Charles Lee

Smith, Charles Lee is an individual health care provider with primary practice located at 3600 Red Rd Ste 501 , Miramar FL 33025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Smith, Charles Lee can be contacted via phone (954) 947-3290.

Contact Information

Primary practice address
3600 Red Rd Ste 501 Miramar FL 33025
Phone: (954) 947-3290
Fax: (866) 572-2146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X OS15367 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 832 West Virginia

Profile Details

NPI number 1841419058
LBN Legal business name Smith, Charles Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 24th, 2018 - about 8 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 1841419058 NPPES
West Virginia Other 832 STATE LICENSE
West Virginia Other OS15367 STATE LICENSE

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