Provider Demographics
NPI:1275510430
Name:SMITH, MICHELE SCHWEBEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:SCHWEBEL
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1196 STONEHEDGE TRAIL LN
Mailing Address - Street 2:EMIAL: SMITH.MICHELE@MAYO.EDU
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-1058
Mailing Address - Country:US
Mailing Address - Phone:904-808-9905
Mailing Address - Fax:
Practice Address - Street 1:4500 SAN PABLO RD S
Practice Address - Street 2:EMAIL: SMITH.MICHELE@MAYO.EDU
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1865
Practice Address - Country:US
Practice Address - Phone:904-953-2204
Practice Address - Fax:904-953-2274
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPS33653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist