Individual
JESSICA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-3995
Mailing address
601 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2300
(386) 425-3995
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME145846
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME145846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140258
—
OH
Enumeration date
05/29/2009
Last updated
02/13/2025
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