Organization
ORANGE BLOSSOM HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE THOMAS SMITH MD (OWNER)
(877) 940-7200
Entity
Organization
Contact information
Practice address
3051 WHITESIDE RD, MACON, GA 31216-6209
(877) 940-7200
Mailing address
7742 N KENDALL DR # 446, MIAMI, FL 33156-7523
(877) 940-7200
(786) 677-8242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
03/08/2024
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