ALAN SMITH M.D. LLC (NPI# 1194086124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194086124 |
| Entity Type | Organization |
| Organization Name | ALAN SMITH M.D. LLC |
| Practice Address |
1769 66th St N St Petersburg FL 33710-5537 |
| Mailing Address |
1769 66th Street N St Petersburg FL 33710 |
| Practice Telephone | 7273432741 |
| Practice Fax Number | 7273432814 |
| Mailing Telephone | 7273432741 |
| Mailing Fax Number | 7273432814 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-26 |
| Authorized Official Name | TONY MOORE (FRONT OFFICE) |
| Authorized Official Telephone | 7273432741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME0044988 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 042850700 | 05 |
| Street Address |
1769 66TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295844967 | Kenneth Ryan Gale | Dentist | 1769 66th St N, St Petersburg, FL 33710 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1265054803 | Waters Edge Medical Clinic Tampa LLC | Clinic/Center | 100 2nd Ave S Ste 7055, St Petersburg, FL 33701-4360 | 2020-05-16 |
| 1851878094 | Nurse Practitioners of Pinellas, LLC. | Clinic/Center | 3551 42nd Avenue South Suite B107, St Petersburg, FL 33711-4369 | 2018-07-20 |
| 1831580612 | Love The Golden Rule Inc | Clinic/Center | 721 Dr Martin Luther King Jr St S, St Petersburg, FL 33705-1922 | 2015-02-14 |
| 1912056540 | Lynne M. Ellis, Md,pa | Clinic/Center | 1111 7th Ave N Ste 103, St Petersburg, FL 33705-1348 | 2007-01-10 |
| 1245791235 | A Rejuvenated Healthcare LLC | Clinic/Center | 3641 Tyrone Blvd N Ste 3, St Petersburg, FL 33710-1150 | 2019-03-31 |
| 1396229605 | Primacare Emc, Inc. | Clinic/Center | 3236 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | 2018-09-21 |
| 1194177857 | Nilam D Shah P A | Clinic/Center | 5750 5th Ave N, St Petersburg, FL 33710-7104 | 2016-07-06 |
| 1962842963 | Bayfront Hma Wellness Center, LLC | Clinic/Center | 603 7th St S, Suite 350, St Petersburg, FL 33701-4719 | 2013-07-05 |
| 1861754590 | Keith Brady, M.d., P.a | Clinic/Center | 1201 5th Ave N, Suite 412, St Petersburg, FL 33705-1400 | 2012-06-08 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on ALAN SMITH M.D. LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.