Provider Demographics
NPI:1699777342
Name:SMITH, ARLETTY DEL PILAR (MD)
Entity type:Individual
Prefix:DR
First Name:ARLETTY
Middle Name:DEL PILAR
Last Name:SMITH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2582 S VOLUSIA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-9124
Mailing Address - Country:US
Mailing Address - Phone:386-960-2009
Mailing Address - Fax:855-343-2142
Practice Address - Street 1:2582 S VOLUSIA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-9124
Practice Address - Country:US
Practice Address - Phone:386-960-2009
Practice Address - Fax:855-343-2142
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83555207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006730800Medicaid