Provider Demographics
NPI:1720371636
Name:SMITHERS, ALEXANDER P (MD, AP)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:P
Last Name:SMITHERS
Suffix:
Gender:M
Credentials:MD, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 2ND AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1009
Mailing Address - Country:US
Mailing Address - Phone:941-356-5150
Mailing Address - Fax:
Practice Address - Street 1:2415 UNIVERSITY PKWY STE 217
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2809
Practice Address - Country:US
Practice Address - Phone:941-444-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2975171100000X
MO2018037130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171100000XOther Service ProvidersAcupuncturist