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Individual

ERIN M LAIPPLY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2300 PARK AVE STE 206, ORANGE PARK, FL 32073-5573
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102173
FL
363AS0400X
Surgical Physician Assistant
PA9102173
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122570300
FL
01
P00082127
RAILROAD MEDICARE
FL
Enumeration date
08/11/2006
Last updated
07/28/2025
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