MEDICARE: DR. VALERIE ANN SMITH D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PO2810	FL

General Provider Information

NPI Number	:	1255330627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE ANN SMITH D.P.M.

Provider Business Mailing Address
First Line	:	1000 BELCHER RD S
Second Line	:	SUITE 4
City	:	LARGO
State	:	FL
Zip	:	33771-3321
Country	:	US
Telephone Number	:	727-530-7585
Fax Number	:	727-536-1831

Provider Business Practice Location Address
First Line	:	1000 BELCHER RD S
Second Line	:	SUITE 4
City	:	LARGO
State	:	FL
Zip	:	33771-3321
Country	:	US
Telephone Number	:	727-530-7585
Fax Number	:	727-536-1831

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

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