Robert Terry Smith, MEDICAL DOCTOR

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

51017 Issued in FL

Practice address

1530 Seagrape Way
Hollywood, FL 33019-4862

Phone

(305) 607-2586

NPI assigned

Aug 8, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174048433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 SEAGRAPE WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330194862",
            "telephone_number": "305-607-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 SEAGRAPE WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330194862",
            "telephone_number": "305-607-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "51017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latesha Evyette Smith, RN
• Marvin Khalid Smith, MD
• Michelle Sofia Smith, MD
• Peter Lloyd Smith II, MS PT
• Rachel A Smith, MS, LMFT
• Ronald D Smith, MD
• Ryan Adam Smith, DMD
• Sabrina Christine Smith, CERTIFIED CAREGIVER
• Sara Smith
• Tamara Lin Smith, MD

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.