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Individual

ANDREW JOSEPH LEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 265-5911
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 756-4800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME166957
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122021200
FL
Enumeration date
04/29/2021
Last updated
08/14/2024
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