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Individual
JAMES SMITH
Active
Individual
JAMES 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
OS20548
FL
207Q00000X
Family Medicine Physician
OTO20403
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120214500
—
FL
Enumeration date
04/30/2020
Last updated
10/08/2025
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