Smith, Delia A.
Smith, Delia A. is an individual health care provider with primary practice located at 1264 Malabar Rd Se , Palm Bay FL 32907-2556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Smith, Delia A. can be contacted via phone (321) 434-1486.Contact Information
Primary practice address
1264 Malabar Rd Se
Palm Bay FL 32907-2556
Phone: (321) 434-1486
Fax: (321) 434-5295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME147647 | Florida |
Profile Details
| NPI number | 1487636379 |
|---|---|
| LBN Legal business name | Smith, Delia A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Oct 16th, 2023 - about 3 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 | 1487636379 | NPPES |
| Florida | Other | RU186 | HFMG MA |
| Florida | MEDICAID | 108675700 | HFMG MA |
| Florida | Other | 550033371 | HFMG MA |
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