Individual
DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1838 MCINTOSH PL, JACKSONVILLE, FL 32210-2224
(813) 240-2610
Mailing address
1838 MCINTOSH PL, JACKSONVILLE, FL 32210-2224
(813) 240-2610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.31618
AL
208000000X
Pediatrics Physician
ME 123538
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD31618
AL
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138530
—
AL
05
—
139215
—
AL
01
—
511-26484
BCBS
AL
01
—
511-26510
BCBS
AL
Enumeration date
03/31/2009
Last updated
12/11/2015
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