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NPI Code Detail

MEDICARE: RONALD D SMITH AND EDUARDO WEISS MD PA

MEDICARE: RONALD D SMITH AND EDUARDO WEISS MD PA
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
1174400000XSpecialist75865FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
138381OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1790735710
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD D SMITH AND EDUARDO WEISS MD PA
Provider Business Mailing Address
First Line : 3850 HOLLYWOOD BLVD
Second Line : SUITE 301
City : HOLLYWOOD
State : FL
Zip : 33021-6748
Country : US
Telephone Number : 954-961-1200
Fax Number : 954-963-0378
Provider Business Practice Location Address
First Line : 3850 HOLLYWOOD BLVD
Second Line : SUITE 301
City : HOLLYWOOD
State : FL
Zip : 33021-6748
Country : US
Telephone Number : 954-961-1200
Fax Number : 954-963-0378
Authorized Official
Title or Position : MANAGER
Name : MISS JULIE SOTO
Credential :
Telephone Number : 954-961-1200
Provider Enumeration Date : 05/11/2006
Last Update Date : 05/15/2008

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Directions to “RONALD D SMITH AND EDUARDO WEISS MD PA ” Practice Location

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