Individual
DR. NICHOLAS ALEXANDER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5159
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-6468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS20600
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS20600
FL
207RS0010X
Sports Medicine (Internal Medicine) Physician
14269
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120820900
—
FL
Enumeration date
05/18/2009
Last updated
01/30/2024
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