Organization
JAMIE R. SMOLEN, MD LLC
Active
Organization
JAMIE R. SMOLEN, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE ROBERT SMOLEN MD (PRESIDENT)
(941) 518-8501
Entity
Organization
Contact information
Practice address
3809 STATE ROAD 64 EAST, BRADENTON, FL 34208
(941) 748-1848
Mailing address
3809 STATE ROAD 64 EAST, BRADENTON, FL 34208
(941) 748-1848
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME82196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164470449
INDIVIDUAL NPI #
—
01
—
ME82196
MEDICAL LICENSE
FL
Enumeration date
08/04/2006
Last updated
03/07/2023
Update your record
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