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Individual
MEGAN A SMITH
Active
Individual
MEGAN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012999200
—
FL
01
—
Y0N7F
BCBS
FL
Enumeration date
01/16/2013
Last updated
10/30/2023
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