Smith, Michelle Marie

Smith, Michelle Marie is an individual health care provider with primary practice located at 501 6Th Ave S Dept # 6580070302, St Petersburg FL 33701-4634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Smith, Michelle Marie can be contacted via phone (727) 767-4429.

Contact Information

Primary practice address
501 6Th Ave S Dept # 6580070302 St Petersburg FL 33701-4634
Phone: (727) 767-4429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME85415 Florida

Profile Details

NPI number 1073540092
LBN Legal business name Smith, Michelle Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 20th, 2016 - about 10 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 1073540092 NPPES
Florida MEDICAID 264416900

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