Provider Demographics
NPI:1588842090
Name:VALERIE ANN SMITH, D.P.M., P.A.
Entity Type:Organization
Organization Name:VALERIE ANN SMITH, D.P.M., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:727-536-7585
Mailing Address - Street 1:1000 BELCHER RD S
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3321
Mailing Address - Country:US
Mailing Address - Phone:727-530-7585
Mailing Address - Fax:727-536-1831
Practice Address - Street 1:1000 BELCHER RD S
Practice Address - Street 2:SUITE 4
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3321
Practice Address - Country:US
Practice Address - Phone:727-530-7585
Practice Address - Fax:727-536-1831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2810332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL480031569OtherRAIL ROAD MEDICARE
FL65639OtherMEDICARE ID
FL340209600Medicaid
FL480031569OtherRAIL ROAD MEDICARE