MEDICARE: CATHERINE S SMITH MD

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	207Y00000X	Otolaryngology Physician	0101225426	VA
2	207Y00000X	Otolaryngology Physician	ME138387	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

General Provider Information

NPI Number	:	1851351407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE S SMITH MD

Provider Business Mailing Address
First Line	:	713 E MARION AVE STE 133
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-3868
Country	:	US
Telephone Number	:	941-833-1777
Fax Number	:	941-347-8544

Provider Business Practice Location Address
First Line	:	713 E MARION AVE STE 133
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-3868
Country	:	US
Telephone Number	:	941-833-1777
Fax Number	:	941-347-8544

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	09/09/2020

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Directions to “ CATHERINE S SMITH MD” Practice Location

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