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General NPI Number Information
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NPI Number | 1235176439
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Entity Type | Individual
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Provider Name | CHARLES J SMITHERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 601 5TH ST S STE 306
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-4170
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Fax | 727-767-4346
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-955-5000
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Fax | 410-500-4266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 216139
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D0095853
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | ME138873
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License Number State | FL
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