Individual
BRYAN JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547-6796
(850) 863-8100
(850) 862-2303
Mailing address
1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547-6796
(850) 863-8100
(850) 862-2303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME107850
FL
Other
Enumeration date
06/12/2006
Last updated
02/11/2014
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