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NPI Code Detail

MEDICARE: PATRICK A SMITH M.D.

MEDICARE:   PATRICK A 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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME163665FL
2207X00000XOrthopaedic Surgery PhysicianR9F75MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
181Y01OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639162225
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK A SMITH M.D.
Provider Business Mailing Address
First Line : PO BOX 112019
Second Line :
City : NAPLES
State : FL
Zip : 34108-0134
Country : US
Telephone Number : 239-624-1700
Fax Number : 239-624-0311
Provider Business Practice Location Address
First Line : 11190 HEALTH PARK BLVD STE 2102
Second Line :
City : NAPLES
State : FL
Zip : 34110-5729
Country : US
Telephone Number : 239-624-1700
Fax Number : 239-624-0311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 05/01/2025

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