Individual
MS. JEANNA REID SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6254 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8723
(352) 795-3232
(352) 795-3350
Mailing address
1671 N MARLBOROUGH LOOP, CRYSTAL RIVER, FL 34429-8713
(352) 563-1154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9101103
FL
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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