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NPI Code Detail

MEDICARE: DR. WILLIAM M SMOAK III M.D.

MEDICARE:  DR. WILLIAM M SMOAK III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207UN0901XNuclear Cardiology PhysicianME 10143FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
190932YOTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003816216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM M SMOAK III M.D.
Provider Business Mailing Address
First Line : PO BOX 402808
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-0808
Country : US
Telephone Number : 305-695-0644
Fax Number : 305-672-9971
Provider Business Practice Location Address
First Line : 400 W 41ST ST
Second Line : SUITE 103
City : MIAMI BEACH
State : FL
Zip : 33140-3516
Country : US
Telephone Number : 305-695-0644
Fax Number : 305-672-9971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 01/26/2012

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Directions to “ DR. WILLIAM M SMOAK III M.D.” Practice Location

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