SMH PHYSICIAN SERVICES INC NPI 1730593773

NPI Information

  • NPI: 1730593773
  • Provider Name: SMH PHYSICIAN SERVICES INC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Other Name: HERITAGE HARBOUR TIME SHARE OFFICE
  • CLIA Number: 10D1090710
  • Address: 1040 RIVER HERITAGE BLVD
    SUITE 202
    BRADENTON, FL
    ZIP 34212
  • Phone: (941) 917-2600

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NPI Details

SMH PHYSICIAN SERVICES INC is an obstetrics gynecology in Bradenton, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SMH PHYSICIAN SERVICES INC NPI is 1730593773. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Heritage Harbour Time Share Office.

The provider's business location address is:

1040 RIVER HERITAGE BLVD
SUITE 202
BRADENTON, FL
ZIP 34212-348
Phone: (941) 917-2600
Fax: (941) 917-7884

The provider's authorized official is Ilene Gilbert-droge .
The authorized official title is Coo and has the following contact phone number (941) 917-8700.

The CLIA number assigned to this NPI record is 10D1090710 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2014 and was last updated on 10/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineME111784FLORIDANo
2207V00000XObstetrics & GynecologyME84613FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AC322MEDICARE PINFLORIDA
233181OTHERFLORIDABCBS
3376537700MEDICAIDFLORIDA
433181TMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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