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Individual
DONALD RAY SMITH JR.
Active
Individual
DONALD RAY SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
332886
LA
363A00000X
Physician Assistant
4212-23
WI
363A00000X
Physician Assistant
PA-2644
ID
363A00000X
Physician Assistant
PA08849
TX
363A00000X
Physician Assistant
Primary
PA58105
CA
363A00000X
Physician Assistant
PA9105176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001640200
—
FL
01
—
CR580Z
MEDICARE
FL
Enumeration date
09/23/2009
Last updated
09/04/2026
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