MEDICARE: DR. ROBERT LEWIS SMITH JR. 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
1	207V00000X	Obstetrics & Gynecology Physician	ME0074072	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E0127Z	OTHER	FL	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1457370884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LEWIS SMITH JR. M.D.

Provider Business Mailing Address
First Line	:	9332 STATE ROAD 54
Second Line	:	STE 202
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1810
Country	:	US
Telephone Number	:	727-849-1659
Fax Number	:	727-842-3627

Provider Business Practice Location Address
First Line	:	9332 STATE ROAD 54
Second Line	:	STE 202
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1810
Country	:	US
Telephone Number	:	727-849-1659
Fax Number	:	727-842-3627

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	12/14/2015

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Directions to “ DR. ROBERT LEWIS SMITH JR. M.D.” Practice Location

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