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NPI Code Detail

MEDICARE: DR. GILBERT A SMITH DO

MEDICARE: DR. GILBERT A SMITH DO
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
12084P0800XPsychiatry PhysicianOS024990PA
22084P0804XChild & Adolescent Psychiatry Physician0102209406VA
32084P0804XChild & Adolescent Psychiatry PhysicianOS15103FL
42084P0800XPsychiatry Physician0102209406VA
52084P0800XPsychiatry Physician25MB12792300NJ

Other Identifiers

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

General Provider Information

NPI Number : 1508235359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GILBERT A SMITH DO
Provider Business Mailing Address
First Line : 3100 SW 62ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-3009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 SW 62ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-3009
Country : US
Telephone Number : 305-663-8439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2015
Last Update Date : 12/03/2025

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Directions to “ DR. GILBERT A SMITH DO” Practice Location

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