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Contact Information

PHILIP C SMITH, MD
699 W COCOA BCH CSWY
SUITE 203
COCOA BEACH, FL32931
 Phone: 321-799-7123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PHILIP C SMITH · (Male)

NPI # 1366497620
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 12/19/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 48315
  • FL Medicaid 053226600
Hospital affiliation(s)
  • CAPE CANAVERAL HOSPITAL - (Acute Care)
    701 W COCOA BEACH CAUSEWAY
    COCOA BEACH, FL 32932
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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