Individual
DR. COLIN LUCAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2080 CHILD STREET, JACKSONVILLE, FL 32214
(904) 542-7300
Mailing address
2080 CHILD STREET, JACKSONVILLE, FL 32214
(904) 542-7300
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
OS21342
FL
Other
Enumeration date
05/11/2023
Last updated
05/04/2025
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