Robert J. Smith, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROBERT J. SMITH, M.D.

Practice address

2425 S Park Ave
Sanford, FL 32771-4419

Phone

(407) 321-4200

NPI assigned

Mar 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert John Smith, M.D.

Title

Owner/Physician

Phone

(407) 321-4200

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1053704791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S PARK AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714419",
            "telephone_number": "407-321-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S PARK AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714419",
            "telephone_number": "407-321-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. SMITH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-321-4200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080104508",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "59034",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanis Rivera-Gonzalez
• Lakecia Rivera, APRN, FNP-C
• Omar M Rivera, D.C.
• Maria de Los Angeles Rivero Vander Briest, RBT
• Bryanna Abigale Robbins
• Elizabeth Roberts
• Victor Ragu Roberts, M.D
• Arianna Rodriguez Ricardo
• Brenda Rodriguez
• Judymar Rodriguez

• Dermatology Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.