Smith, Todd
Smith, Todd is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Suite 300, Fort Lauderdale FL 33316-2521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Smith, Todd can be contacted via phone (954) 355-4665.Contact Information
Primary practice address
1625 Se 3Rd Ave Suite 300
Fort Lauderdale FL 33316-2521
Phone: (954) 355-4665
Fax: (954) 355-4881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9108182 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1003 | Wisconsin |
Profile Details
| NPI number | 1649673898 |
|---|---|
| LBN Legal business name | Smith, Todd |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2014 |
| Last updated | Oct 20th, 2015 - about 11 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 | 1649673898 | NPPES |
| Florida | MEDICAID | 015493500 |
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