Individual
DR. JACQUELINE ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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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