# MARK A SMITH MD,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295744639
- **Authorized official:** DR. MARK ANTHONY SMITH M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (904) 997-2221

## Contact information

- **Practice address:** 10095 BEACH BLVD STE 300, JACKSONVILLE, FL 32246-4775
- **Practice address phone:** (904) 997-2221
- **Practice address fax:** (904) 997-2297
- **Mailing address:** 10095 BEACH BLVD STE 300, JACKSONVILLE, FL 32246-4775
- **Mailing address phone:** (904) 997-2221
- **Mailing address fax:** (904) 997-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | ME77870 | FL | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020