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Deactivated NPI 1104062884 Deactivated / Inactive NPI Male Practitioner

Dr. William Glenn Smith , DO

Family Medicine • Ocoee, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 30, 2008
NPI Deactivation Date July 20, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. William Smith, DO was a registered Family Medicine practicing in Ocoee, FL. Throughout an active medical career spanning 12 years, Dr. Smith provided care at the practice location at 1052 ROYAL MARQUIS CIRC. until profile deactivation on 2020-07-20.

Practice Location & Contact Primary Location

Practice Address

1052 Royal Marquis Circ.

Ocoee, FL 347619197

Telephone 4072864313
Fax 4072864313

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Ocoee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.6 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
33 Specialists

Practicing in Ocoee, FL (9978 Statewide)

Telehealth Adoption Rate
24.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License WI 11175021

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 20, 2020

Record deactivated on July 20, 2020

NPI Profile Active December 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2008

Registered at 1052 ROYAL MARQUIS CIRC., OCOEE, FL 347619197 (Tel: 4072864313)

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Updated Business Mailing Address December 30, 2008

Registered at 1052 ROYAL MARQUIS CIRC, OCOEE, FL 347619197 (Tel: 4022864313)

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Provider Name / Credentials Updated December 30, 2008

Recorded as WILLIAM SMITH, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2008

Family Medicine (License #11175021 in WI)

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Initial NPI Registration & Enumeration December 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104062884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2008
Last Update: December 30, 2008
Deactivation Date: July 20, 2020

Mailing Address

1052 Royal Marquis Circ

Ocoee, FL 347619197

Phone: 4022864313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.