Individual
ADDISON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 SARATOGA CIR S, ATLANTIC BEACH, FL 32233-3339
(561) 400-8715
Mailing address
55 SARATOGA CIR S, ATLANTIC BEACH, FL 32233-3339
(561) 400-8715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9115534
FL
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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