Individual
TRAVIS MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12615 BRADY PLACE BLVD, JACKSONVILLE, FL 32223-2590
(727) 772-3220
Mailing address
12615 BRADY PLACE BLVD, JACKSONVILLE, FL 32223-2590
(727) 772-3220
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS11602
FL
Other
Enumeration date
05/26/2009
Last updated
06/22/2012
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