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General NPI Number Information
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NPI Number | 1902835374
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Entity Type | Individual
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Provider Name | MICHAEL DAVID SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 40107 HIGHWAY 27
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City | DAVENPORT
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State | FL
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Zip | 33837-5901
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Country | US
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Telephone | 863-419-0692
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Fax | 863-419-1695
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Provider Business Mailing Address
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Address Line | 1420 CELEBRATION BLVD STE 308
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City | CELEBRATION
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State | FL
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Zip | 34747-5161
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Country | US
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Telephone | 407-599-9899
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Fax | 305-946-1029
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | TL3100
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 01036913A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | H5682
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD60295642
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 021562
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 103176
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD-9852
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License Number State | HI
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