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Individual

DAVID ALAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-3066
Mailing address
4295 HEATH RD, JACKSONVILLE, FL 32277-1587
(904) 762-1913

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2842212
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00945953A
GA
05
304242100
FL
Enumeration date
06/12/2006
Last updated
03/24/2025
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