Individual
MR. SCOTT MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1395 N COURTENAY PKWY, SUITE 208, MERRITT ISLAND, FL 32953-4400
(321) 529-7300
(321) 877-1136
Mailing address
700 FAWN LILY CT, OVIEDO, FL 32766-6611
(732) 456-2308
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9101218
FL
Other
Enumeration date
04/16/2010
Last updated
11/18/2016
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