person
Charles Lee Smith, DO
General Practice Physician in Miramar, Florida
NPI 1841419058

Charles Lee Smith is a General Practice Physician based in Miramar, FL. Charles Lee Smith practices in Miramar, FL and has the professional credentials of DO. The NPI Number for Charles Lee Smith is 1841419058 and holds a License No. OS15367 (Florida).

The current practice location address for Charles Lee Smith is 3600 Red Rd Ste 501, Miramar, FL and can be reached out via phone at 954-947-3290 and via fax at 866-572-2146.

Location: 3600 Red Rd Ste 501, Miramar, FL, 33025-6015
person
Provider Profile Details
NPI Number
1841419058
Provider Name
Charles Lee Smith
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3600 Red Rd Ste 501, Miramar, FL, 33025-6015
Phone Number
954-947-3290
Fax Number
866-572-2146
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
832 01 WV STATE LICENSE
OS15367 01 FL 1841419058
institution
Provider Business Practice Location Address Details
Address
3600 Red Rd Ste 501
City
State
Zip
33025
Phone Number
954-947-3290
Fax Number
866-572-2146
person
Provider Business Mailing Address Details
Address
3600 Red Rd Ste 501
City
State
Zip
33025
Phone Number
954-947-3290
Fax Number
866-572-2146
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
License No.
832 (West Virginia)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
OS15367 (Florida)
Definition
Definition to come...
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