Individual
DR. JACQUELINE ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4101 NW 4TH ST, # 409, PLANTATION, FL 33317-2850
(954) 321-9555
(954) 321-9557
Mailing address
4101 NW 4TH ST, # 409, PLANTATION, FL 33317-2836
(954) 321-9555
(954) 321-9557
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
71500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251684500
—
FL
Enumeration date
04/13/2006
Last updated
09/18/2019
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