Individual
GARY SPENCER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0112
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12717
GA
363A00000X
Physician Assistant
Primary
PA9107568
FL
Other
Enumeration date
10/04/2013
Last updated
07/09/2025
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