Individual
MATTHEW THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2571, JACKSONVILLE, FL 32258-7420
(904) 886-2251
(904) 886-7151
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.011481
OH
Other
Enumeration date
06/14/2010
Last updated
08/01/2019
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