Organization
AMELIA ISLAND ORTHPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY NEAL SMITH MD (PHYSICIAN)
(904) 261-8787
Entity
Organization
Contact information
Practice address
1250 S 18TH ST, SUITE 204, FERNANDINA BEACH, FL 32034-1902
(904) 261-8787
(904) 261-9353
Mailing address
1250 S 18TH ST, SUITE 204, FERNANDINA BEACH, FL 32034-1902
(904) 261-8787
(904) 261-9353
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME66525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200031351
RAILROAD MEDICARE
FL
05
—
253374000
—
FL
01
—
CN5855
RAILROAD MEDICARE
FL
Enumeration date
07/19/2006
Last updated
05/05/2009
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