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NPI 1346265337

NPI 1346265337 : WILLIAM E SMIDDY MD : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1346265337
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM E SMIDDY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    11/07/2025
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Provider Practice Location Address
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    Address Line         |    900 NW 17TH AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33101-6960
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    Country              |    US
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    Telephone            |    305-326-6031
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    Fax                  |    305-243-8470
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Provider Business Mailing Address
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    Address Line         |    PO BOX 16960 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33101-6960
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    Country              |    US
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    Telephone            |    305-326-6031
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    Fax                  |    305-243-8470
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    ME54809
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    ME54809
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    License Number State |    FL
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