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Organization
SMITH JOHNSON MEDICAL GROUP, LLC
Active
Organization
SMITH JOHNSON MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J SMITH (PRESIDENT OPERATIONS)
(904) 629-0100
Entity
Organization
Contact information
Practice address
13500 SUTTON PARK DR S, SUITE 701, JACKSONVILLE, FL 32224-5251
(904) 223-1667
(904) 223-1669
Mailing address
13500 SUTTON PARK DR S, SUITE 701, JACKSONVILLE, FL 32224-5251
(904) 223-1667
(904) 223-1669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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