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General NPI Number Information
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NPI Number | 1760421895
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Entity Type | Individual
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Provider Name | NELSON MICHAEL SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 483 N SEMORAN BLVD STE 204
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City | WINTER PARK
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State | FL
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Zip | 32792-3800
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Country | US
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Telephone | 407-645-1847
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 SANTA BARBARA BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32159-6827
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Country | US
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Telephone | 352-259-2159
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Fax | 352-259-5731
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME50488
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2018-00868
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME50488
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License Number State | FL
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