Individual
DR. JESSICA ILENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Mailing address
10135 BELGRAVE RD, TAMPA, FL 33626-5409
(813) 920-7057
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME95922
FL
Other
Enumeration date
05/25/2006
Last updated
09/06/2011
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