Provider Demographics
NPI:1306819909
Name:SMITH, ARTHUR FARRELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:FARRELL
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6894 LAKE WORTH RD
Mailing Address - Street 2:STE 201
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:561-433-1100
Mailing Address - Fax:561-433-1013
Practice Address - Street 1:6894 LAKE WORTH RD
Practice Address - Street 2:STE 201
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467
Practice Address - Country:US
Practice Address - Phone:561-433-1100
Practice Address - Fax:561-433-1013
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39913207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL61254OtherBC
070014594OtherRAILROAD
070014594OtherRAILROAD
FLD57158Medicare UPIN