Dina M. Smith in West Melbourne - Pediatrics

Dina M. Smith - NPI 1699809012

Dina M. Smith is a Pediatrics in West Melbourne, Florida. Dina M. Smith practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dina M. Smith is 1699809012. The last update date is 2008-06-05.

Dina M. Smith's current location address is 2993 Chica Cir, West Melbourne, Florida. You can contact this provider via phone number 3217598380 and fax number 3217330928. The mailing address for Dina M. Smith is 2993 Chica Cir, West Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Dina M. Smith
Address 2993 Chica Cir, West Melbourne, Florida
Phone Number 3217598380
Fax Number 3217330928
Sole Proprietor Y
Credentials P.T.

NPI Number Detail

NPI Number 1699809012
Provider Enumeration Date 2007-03-15
Last Updated Date 2008-06-05

Provider Mailing Address Detail

Address 2993 Chica Cir
City West Melbourne
State Florida (FL)
Post Code 329046805
Phone Number 3217598380
Fax Number 3217330928

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No PT 13583
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5470501 FL FIRST HEALTH
Y9767 FL BLUE CROSS AND BLUE SHIEL
811612100 FL --
2110946 FL FIRST HEALTH
886247800 FL --

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FAQs about Dina M. Smith

What is the Dina M. Smith's unique identification number?

The Dina M. Smith has been assigned the NPI (National Provider Identifier) Number 1699809012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Dina M. Smith is physically located?

The Dina M. Smith is physically situated at the following address: 2993 Chica Cir, West Melbourne, FL, 329046805.

What is Dina M. Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dina M. Smith is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1699809012 to Dina M. Smith?

The Dina M. Smith received its 1699809012 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.

As of what date was the information pertaining to Dina M. Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dina M. Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-05.

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