MEDICARE: DR. BRIGETTE SMITH DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO 3089	FL

General Provider Information

NPI Number	:	1861442279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIGETTE SMITH DPM

Provider Business Mailing Address
First Line	:	PO BOX 378485
Second Line	:
City	:	KEY LARGO
State	:	FL
Zip	:	33037-8485
Country	:	US
Telephone Number	:	305-852-8395
Fax Number	:

Provider Business Practice Location Address
First Line	:	92410 OVERSEAS HWY
Second Line	:	SUITE 1
City	:	TAVERNIER
State	:	FL
Zip	:	33070-2636
Country	:	US
Telephone Number	:	305-852-8395
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	11/05/2014

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