Individual
DR. JAMIE ROBERT SMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100256, GAINESVILLE, FL 32610-3003
(352) 265-7999
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME82196
FL
2084P0802X
Addiction Psychiatry Physician
Primary
ME82196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009109300
—
FL
Enumeration date
05/05/2006
Last updated
07/26/2013
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