Dr. Reynaldo Pezzotti Smith, MD
Family Medicine in Fort Myers, Florida
1508093154- Practice location
- 3822 Broadway, Fort Myers, FL 33901-8148
- Phone
- 239-900-9170
- Fax
- —
- Last updated
- April 25, 2025
Reynaldo Pezzotti Smith is a Family Medicine based in Fort Myers, FL. Reynaldo Pezzotti Smith practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Reynaldo Pezzotti Smith is 1508093154 and holds a License No. 17615 (PR). The current practice location address for Reynaldo Pezzotti Smith is 3822 Broadway, Fort Myers, FL 33901-8148 and can be reached out via phone at 239-900-9170.
Provider Profile Details
- NPI Number
- 1508093154
- Provider Name
- Reynaldo Pezzotti Smith
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3822 Broadway, Fort Myers, FL 33901-8148
- Phone Number
- 239-900-9170
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 22, 2009
- Last Update Date
- April 25, 2025
- Certification Date
- April 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3822 Broadway
Fort Myers, FL 33901-8148 - City
- Fort Myers
- State
- Florida
- Zip
- 33901-8148
- Phone Number
- 239-900-9170
Provider Business Mailing Address Details
- Address
- 3024 Seafarer Dr
Punta Gorda, FL 33983-3457 - City
- Punta Gorda
- State
- FL
- Zip
- 33983-3457
- Phone Number
- 407-820-7079
- Fax Number
- 787-961-9447
License Information
- License Number (1)
- 17615
- License State (1)
- PR
- Taxonomy (1)
- Family Medicine, Adult Medicine · 207QA0505X
- License Number (2)
- 1037
- License State (2)
- FL
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Reynaldo Pezzotti Smith, MD?
The NPI number of Dr. Reynaldo Pezzotti Smith, MD is 1508093154. It was assigned on June 22, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Reynaldo Pezzotti Smith, MD?
Dr. Reynaldo Pezzotti Smith, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PR under license number 17615.
Where does Dr. Reynaldo Pezzotti Smith, MD practice?
The practice location is 3822 Broadway, Fort Myers, FL 33901-8148. The office can be reached at 239-900-9170 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508093154 directly on the NPPES registry website.