NPI | 1740213305 |
---|---|
Former Legal Business Name | EARL A. SMITH, MD, PA |
Entity Type | Organization |
Authorized Contact | CHRISTINA JOY CANODY President 813-879-5716 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL 17458) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2012-05-31 |