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Individual

ROBERT S. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-6839
(352) 265-0761
(352) 265-0190
Mailing address
PO BOX 198898, UNIVERSITY SPECIALTY CLINICS - SURGERY, ATLANTA, GA 30384-8898
(803) 545-5800
(803) 929-0492

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
0419881
KS
2086S0127X
Trauma Surgery Physician
Primary
35012
SC
2086S0127X
Trauma Surgery Physician
MD441617
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014447600
FL
05
100167800A
KS
05
1025474900001
PA
05
350122
SC
01
AA93951955
MEDICARE PTAN
SC
Enumeration date
07/08/2005
Last updated
01/17/2019
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