Irina Viktorovna Smith
MD | Pediatrics | Female
Irina Viktorovna Smith, MD is a Fort Walton Beach, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Irina Viktorovna Smith is
1005 Mar Walt Dr, Fort Walton Beach, Florida - 32547-6707. She can be contacted on phone at
850-863-8203 and fax number 850-863-8113.
Irina Viktorovna Smith is a sole proprietor of her business.
NPI number (Unique professional ID) for Irina Viktorovna Smith is
1992067383 which was assigned by NPPES on 12 Jun, 2012 and it was last updated on 19 Mar, 2019.
Irina Viktorovna Smith license number is
ME131181 for Pediatrics (208000000X) in Florida.
Irina Viktorovna Smith is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Irina Viktorovna Smith basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Irina Viktorovna Smith |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Irina Viktorovna Smith address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1005 Mar Walt Dr
Fort Walton Beach, FL, 32547-6707
United States |
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| Phone Number : | 850-863-8203 |
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| Fax Number : | 850-863-8113 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992067383 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jun, 2012 |
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| Last Updated On : | 19 Mar, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Irina Viktorovna Smith are as mentioned. Primary taxonomy code for Irina Viktorovna Smith, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME131181 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Irina Viktorovna Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 019994600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1005 Mar Walt Drive, Administration
Fort Walton Beach, FL, 32547-6796
United States |
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| Phone Number : | 850-863-8100 |
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| Fax Number : | 850-863-4152 |
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Business Location:
Patients can refer following map for directions to
Irina Viktorovna Smith practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.