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Individual

DR. ARNOLD GRAHAM SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9191 R G SKINNER PKWY, SUITE 103, JACKSONVILLE, FL 32256-9655
(904) 391-6862
(904) 391-1005
Mailing address
9191 R G SKINNER PKWY, SUITE 103, JACKSONVILLE, FL 32256-9655
(904) 391-6862
(904) 391-1005

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME0039103
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010001690
RAILROAD MEDICARE
FL
01
15651
BCBS PROVIDER NUMBER
FL
Enumeration date
10/16/2006
Last updated
07/12/2013
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