Provider Demographics
NPI:1215907431
Name:SMOLARSKI, ALAIN B (MD)
Entity type:Individual
Prefix:
First Name:ALAIN
Middle Name:B
Last Name:SMOLARSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4881 NW 8TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4582
Mailing Address - Country:US
Mailing Address - Phone:352-373-6338
Mailing Address - Fax:352-373-6144
Practice Address - Street 1:910 OLD CAMP RD
Practice Address - Street 2:SUITE 202
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5604
Practice Address - Country:US
Practice Address - Phone:352-753-6886
Practice Address - Fax:352-753-6532
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2013-05-22
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Provider Licenses
StateLicense IDTaxonomies
FLME0075618207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43812XMedicare PIN
FLE83228Medicare UPIN