Provider Demographics
NPI:1720321524
Name:SMYTH, NIALL A (MD)
Entity type:Individual
Prefix:DR
First Name:NIALL
Middle Name:A
Last Name:SMYTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 N UNIVERSITY DRIVE
Mailing Address - Street 2:CLEVELAND CLINIC FLORIDA
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:954-659-5430
Mailing Address - Fax:
Practice Address - Street 1:5701 N UNIVERSITY DRIVE
Practice Address - Street 2:CLEVELAND CLINIC FLORIDA
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-659-5430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME140797207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery