MEDICARE: NEIL E SMERLING MD

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
1	207R00000X	Internal Medicine Physician	ME141467	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1154367522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL E SMERLING MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	941-429-3416
Fax Number	:	941-429-3430

Provider Business Practice Location Address
First Line	:	18659 TAMIAMI TRL STE A
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34287-7388
Country	:	US
Telephone Number	:	414-293-4169
Fax Number	:	941-429-3430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	11/29/2022

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Directions to “ NEIL E SMERLING MD” Practice Location

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