MEDICARE: DR. RAMADA SHERICE SMITH 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	207VM0101X	Maternal & Fetal Medicine Physician	200400599	NC
2	207VM0101X	Maternal & Fetal Medicine Physician	ME151746	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
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	:	1619964046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMADA SHERICE SMITH M.D.

Provider Business Mailing Address
First Line	:	2202 STATE AVE STE 207
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4582
Country	:	US
Telephone Number	:	850-874-1856
Fax Number	:	850-784-1975

Provider Business Practice Location Address
First Line	:	2202 STATE AVE STE 207
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4582
Country	:	US
Telephone Number	:	850-874-1856
Fax Number	:	850-784-1975

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	06/20/2023

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Directions to “ DR. RAMADA SHERICE SMITH M.D.” Practice Location

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