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Todd Smith, PA
Surgical Physician Assistant in Fort Lauderdale, Florida
NPI 1649673898

Todd Smith is a Surgical Physician Assistant based in Fort Lauderdale, FL and is specialized in Surgical. Todd Smith practices in Fort Lauderdale, FL and has the professional credentials of PA. The NPI Number for Todd Smith is 1649673898 and holds a License No. PA9108182 (Florida).

The current practice location address for Todd Smith is 1625 Se 3Rd Ave, Fort Lauderdale, FL and can be reached out via phone at 954-355-4665 and via fax at 954-355-4881.

Location: 1625 Se 3Rd Ave, Fort Lauderdale, FL, 33316-2564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649673898
Provider Name
Todd Smith
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1625 Se 3Rd Ave, Fort Lauderdale, FL, 33316-2564
Phone Number
954-355-4665
Fax Number
954-355-4881
Provider Enumeration Date
10/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015493500 05 FL
institution
Provider Business Practice Location Address Details
Address
1625 Se 3Rd Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2521
Phone Number
954-355-4665
Fax Number
954-355-4881
person
Provider Business Mailing Address Details
Address
1625 Se 3Rd Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2521
Phone Number
954-355-4665
Fax Number
954-355-4881
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA9108182 (Florida)
Definition
Definition to come...
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