Individual
DR. JAYNELL SMITH-CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2105 PARK ST, STE B, JACKSONVILLE, FL 32204-3871
(904) 354-1192
(904) 354-1193
Mailing address
PO BOX 2588, JACKSONVILLE, FL 32203-2588
(904) 354-1192
(904) 354-1193
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO002487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340105700
—
FL
01
—
40029653
RAILROAD MEDICARE
FL
01
—
65404
BCBSFL
FL
Enumeration date
01/31/2007
Last updated
03/07/2023
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