Individual
MR. WADE ELDON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
2215 NW 8TH CT, GAINESVILLE, FL 32609-8518
(352) 339-4336
Mailing address
2215 NW 8TH CT, GAINESVILLE, FL 32609-8518
(352) 339-4336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN173997
GA
163W00000X
Registered Nurse
Primary
RN2935522
FL
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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