Renaldas Algirdas Smidtas

NPI #1215110192 in Live Oak, Florida

Provider Information

NPI Number: 1215110192
Entity Type: Organization
Organization Name: Renaldas Algirdas Smidtas
Subpart: Yes (part of a larger organization)
Parent Organization: RENALDAS SMIDTAS MD
Primary Specialty: Internal Medicine
Enumeration Date: Dec 13, 2007
Last Updated: Jan 23, 2014

Practice Location

Address: 1437 N OHIO AVE
City: Live Oak
State: Florida
ZIP Code: 32064-4817
Phone: (386) 362-5840

Authorized Official

Name: RENALDAS ALGIRDAS SMIDTAS, MD
Title: OWNER
Phone: (386) 362-5840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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