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
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