MEDICARE: FORT SMITH HMA PBC MANAGEMENT, LLC

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	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1417230228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT SMITH HMA PBC MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	5811 PELICAN BAY BLVD
Second Line	:	SUITE 500
City	:	NAPLES
State	:	FL
Zip	:	34108-2733
Country	:	US
Telephone Number	:	239-598-3131
Fax Number	:	239-592-0438

Provider Business Practice Location Address
First Line	:	1502 DODSON AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-5128
Country	:	US
Telephone Number	:	479-709-7190
Fax Number	:	479-709-7193

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	MR. STANLEY D MCLEMORE
Credential	:
Telephone Number	:	239-598-3131

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	09/28/2011

Similar Medicare Providers

1518962760 — FORT SMITH DIALYSIS SUPPLY COMPANY
Practice Location Address:

1506 DODSON AVE
FORT SMITH, AR
72901-5128

Practice Phone: 479-709-6828
Practice Fax: 479-709-7453

1922090315 — BRUCE A CROSS MD
Practice Location Address:

1502 DODSON AVE
FORT SMITH, AR
72901-5128

Practice Phone: 479-709-7190
Practice Fax: 479-709-7193

1730166265 — DR. DANIEL I CORDAS MD
Practice Location Address:

1506 DODSON AVE
FORT SMITH, AR
72901-5128

Practice Phone: 479-709-7000
Practice Fax: 479-709-7005

1871762930 — SPARKS REGIONAL MEDICAL CENTER
Practice Location Address:

1504 DODSON AVE
FORT SMITH, AR
72901-5128

Practice Phone: 479-709-7435
Practice Fax: 479-709-7437

1023301819 — SATISH KUMAR REDDY GADDAM MBBS
Practice Location Address:

1504 DODSON AVE
FORT SMITH, AR
72901-5128

Practice Phone: 479-709-7175
Practice Fax: 479-709-7180

1558749028 — JONATHAN LANE TOBEY MD
Practice Location Address:

1506 DODSON AVE
FORT SMITH, AR
72901-5128

Practice Phone: 479-709-7000
Practice Fax: 479-709-7005

Directions to “FORT SMITH HMA PBC MANAGEMENT, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.