Individual provider · Type 1 NPI

Brock Lewis Smith, PA-C

Medical Physician Assistant · Clearwater, FL

NPI number 1669460986 Active

Practice location

3251 N Mcmullen Booth Rd Ste 301
Clearwater, FL 33761-2022

Fax (727) 669-5366

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Other practice locations

  • 8801 N Tarrant Pkwy, North Richland Hills, TX 76182-8461 · (817) 616-0700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA02632 (TX)
Medical Physician Assistant Primary 363AM0700XPA9117281 (FL)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1669460986

Brock Lewis Smith, PA-C's National Provider Identifier is 1669460986, issued on Oct 11, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clearwater, FL. The record was last updated on Aug 4, 2023.