Healthcare Provider Details

I. General information

NPI: 1861495814
Provider Name (Legal Business Name): FRANCISCO ALBERTO SMITH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 MEDICAL BLVD STE 302
NAPLES FL
34110-1497
US

IV. Provider business mailing address

1660 MEDICAL BLVD STE 302
NAPLES FL
34110-1497
US

V. Phone/Fax

Practice location:
  • Phone: 239-596-1995
  • Fax: 239-596-1413
Mailing address:
  • Phone: 239-596-1995
  • Fax: 239-596-1413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number034784
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: