| Charles Lee Smith, DO | |
|
3600 Red Rd Ste 501, Miramar, FL 33025 | |
| (954) 947-3290 | |
| (866) 572-2146 |
| Full Name | Charles Lee Smith |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 3600 Red Rd Ste 501, Miramar, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841419058 | NPI | - | NPPES |
| 832 | Other | WV | STATE LICENSE |
| OS15367 | Other | FL | 1841419058 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | OS15367 (Florida) | Primary |
| 208D00000X | General Practice | 832 (West Virginia) | Secondary |
| Entity Name | Way Home Treatment Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962983833 PECOS PAC ID: 6507396736 Enrollment ID: O20250204000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Lee Smith, DO 3600 Red Rd Ste 501, Miramar, FL 33025-6015 Ph: (954) 947-3290 | Charles Lee Smith, DO 3600 Red Rd Ste 501, Miramar, FL 33025 Ph: (954) 947-3290 |
Dr. William Anthony Gerson, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Enterprise Way, Miramar, FL 33025 Phone: 954-266-1000 | |
Dr. Ramon Emilio Gomez Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6151 Miramar Pkwy Ste 104, Miramar, FL 33023 Phone: 954-343-9004 Fax: 877-395-1682 | |
Marley Joseph, ARNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12602 Sw 54th Ct, Miramar, FL 33027 Phone: 954-558-1599 | |
Dr. James Allen King, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5135 Sw 157th Ave, Miramar, FL 33027 Phone: 268-464-5891 | |
Deborah Reynolds, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3350 Sw 148th Ave Ste 300, Miramar, FL 33027 Phone: 303-668-8110 | |
Marie-ange Anny Daniel, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3575 Sw 90th Ave, Miramar, FL 33025 Phone: 786-218-0353 |