Individual
DANNY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204-4704
(904) 346-5426
(904) 346-0113
Mailing address
BPX PO, ORLANDO, FL 32886-0001
(904) 396-6620
(904) 396-6528
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3054
FL
Other
Enumeration date
07/19/2006
Last updated
11/06/2007
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