MEDICARE: MEGAN LESLEY SMITH

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	235Z00000X	Speech-Language Pathologist	SI8061	FL

General Provider Information

NPI Number	:	1760330930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN LESLEY SMITH

Provider Business Mailing Address
First Line	:	2400 NE 65TH ST APT 719
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1574
Country	:	US
Telephone Number	:	954-408-3949
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 NE 65TH ST APT 719
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1574
Country	:	US
Telephone Number	:	954-408-3949
Fax Number	:

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

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “ MEGAN LESLEY SMITH ” Practice Location

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