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Organization
J S MICHAEL SMITH MD PA
Active
Organization
J S MICHAEL SMITH MD PA
Active
Other names
John Stewart Michael Smith MD
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STEWART MICHAEL SMITH MD (OWNER/PRESIDENT)
(850) 675-4546
Entity
Organization
Contact information
Practice address
14088 ALABAMA ST, JAY, FL 32565-1036
(850) 675-4546
(850) 675-4548
Mailing address
PO BOX 10, JAY, FL 32565-0010
(850) 675-4546
(850) 675-4548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME89102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009996365
ALACAID
AL
01
—
01512
BLUE CROSS AND BLUE SHIELD OF FLORIDA
—
01
—
2357174
CIGNA
—
01
—
2553182
UNITED HEALTHCARE
—
05
—
272533900
—
FL
01
—
59180291
BLUE CROSS AND BLUE SHIELD OF ALABAMA
—
01
—
592200521
CHAMPVA
—
01
—
751241
COVENTRY
—
01
—
7839652
AETNA
—
01
—
P00368813
RAILROAD MEDICARE
—
01
—
W560
WELLCARE
—
Enumeration date
05/15/2012
Last updated
10/26/2012
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