Individual
DR. JASON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1290 WATERMAN WAY, TAVARES, FL 32778
(352) 742-0054
(352) 742-4814
Mailing address
1290 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 742-0054
(352) 742-4814
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101020353
MI
208600000X
Surgery Physician
Primary
OS15155
FL
Other
Enumeration date
05/16/2013
Last updated
08/07/2018
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