Individual
MR. JOSEPH B. SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS/PA-C;MS/CCC-SLP
Contact information
Practice address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 416-7619
(850) 416-7753
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3571
AL
235Z00000X
Speech-Language Pathologist
SA12713
FL
363A00000X
Physician Assistant
Primary
PA9112483
FL
363A00000X
Physician Assistant
—
FL
Other
Enumeration date
08/07/2014
Last updated
10/22/2019
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