Provider Demographics
NPI:1902153182
Name:SMITH, HILARY ANNE ALLISON (DPM)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:ANNE ALLISON
Last Name:SMITH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 W BROWARD BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2701
Mailing Address - Country:US
Mailing Address - Phone:954-370-4451
Mailing Address - Fax:954-916-5402
Practice Address - Street 1:9710 NW 7TH CIR
Practice Address - Street 2:APT 1032
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7539
Practice Address - Country:US
Practice Address - Phone:847-445-8366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3570213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery