Provider Demographics
NPI:1881183226
Name:SMHD MEDICAL, LLC
Entity Type:Organization
Organization Name:SMHD MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-971-8708
Mailing Address - Street 1:497 SR 436
Mailing Address - Street 2:SUITE 155
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-6435
Mailing Address - Country:US
Mailing Address - Phone:407-679-0573
Mailing Address - Fax:
Practice Address - Street 1:497 SR 436
Practice Address - Street 2:SUITE 155
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6435
Practice Address - Country:US
Practice Address - Phone:407-679-0573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies