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Individual
DR. JEFFREY SMITH
Active
Individual
DR. JEFFREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS10138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106328974
TRICARE
FL
05
—
281374200
—
FL
01
—
42847
BCBS
FL
01
—
P01111523
RAILROAD MEDICARE
FL
Enumeration date
08/22/2006
Last updated
06/26/2023
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