Individual
JEFFREY B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1395 S PINELLAS AVE, HELEN ELLIS MEMORIAL HOSPITAL, TARPON SPRINGS, FL 34689-3790
(727) 942-5113
Mailing address
PO BOX 6647, OZONA, FL 34660-6647
(727) 942-5075
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
ME61414
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME61414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254487300
—
FL
Enumeration date
12/13/2006
Last updated
04/12/2010
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