Kyle A Smith, MD | |
3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | |
(239) 344-2367 | |
(239) 368-5483 |
Full Name | Kyle A Smith |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3415 Lee Blvd, Lehigh Acres, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275524670 | NPI | - | NPPES |
273769800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME93775 (Florida) | Primary |
Entity Name | Family Health Centers Of Southwest Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326090390 PECOS PAC ID: 3173432085 Enrollment ID: O20040106000084 |
Mailing Address | Practice Location Address |
---|---|
Kyle A Smith, MD Po Box 919771, Orlando, FL 32891-9771 Ph: (239) 278-3600 | Kyle A Smith, MD 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 Ph: (239) 344-2367 |
Mrs. Rachel Rodrigo Wiik, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 260 Beth Stacey Blvd Ste C, Lehigh Acres, FL 33936 Phone: 239-343-9888 | |
Enrique Luks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 222 Plaza Dr, Lehigh Acres, Lehigh Acres, FL 33936 Phone: 239-368-5437 Fax: 239-369-0880 | |
Dr. Stephen R. Liftig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2516 7th St W, Lehigh Acres, FL 33971 Phone: 239-994-6771 Fax: 239-303-9897 | |
Nesibe Ozfidan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 Beth Stacey Blvd # C, Lehigh Acres, FL 33936 Phone: 239-343-9888 | |
Mauricio David Mora Valdez, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3415 Lee Blvd, Lehigh Acres, FL 33971 Phone: 844-342-7935 | |
Dr. Nuel C Celebrado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5700 Lee Blvd, Lehigh Acres, FL 33971 Phone: 239-481-5437 Fax: 239-477-5440 |