Individual
CORY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Mailing address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA193
FL
Other
Enumeration date
11/07/2013
Last updated
11/08/2013
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