IndividualActive
Charles Smallwood, M.D
NPI 1194945469 · Occupational Medicine Physician · Ksc, FL
Provider details
- NPI number
- 1194945469
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 56366 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Omehs
Chs-005
Ksc, FL 32899
Phone: (321) 861-8630
Fax: (321) 867-9360
Approximate (ZIP-level) locationGet directions
Mailing address
56 Crystal River Dr
Cocoa Beach, FL 32931-2830
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.