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Individual

MR. WILLIAM W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
3201 SW 34TH STREET, OCALA, FL 34474-7439
(352) 237-8100
(352) 873-1188
Mailing address
3201 SW 34TH STREET, OCALA, FL 34474-7439
(352) 237-8100
(352) 873-1188

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1638
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011848300
FL
Enumeration date
11/08/2006
Last updated
11/10/2014
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