Provider Demographics
NPI:1376505271
Name:SMITH, WEBER LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:WEBER
Middle Name:LEE
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 552279
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33655-0001
Mailing Address - Country:US
Mailing Address - Phone:800-664-3939
Mailing Address - Fax:843-284-3401
Practice Address - Street 1:5542 HIGH ST
Practice Address - Street 2:SUITE C
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4026
Practice Address - Country:US
Practice Address - Phone:727-842-4848
Practice Address - Fax:727-842-9513
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME52263207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME52263OtherFL MEDICAL LICENSE
AZ17044OtherAZ MEDICAL LICENSE #