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Organization

ATLANTIC ISLES INPATIENT SERVICES,LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUG SMITH MD (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(973) 251-1132
Mailing address
13737 NOEL ROAD, 1600, DALLAS, TX 75240
(973) 251-1132

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/09/2012
Last updated
12/05/2019
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