Individual
DR. ANDREW JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401
(850) 747-2036
(850) 769-7545
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(877) 832-2652
(800) 792-9021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME133141
FL
390200000X
Student in an Organized Health Care Education/Training Program
2012021976
MO
390200000X
Student in an Organized Health Care Education/Training Program
TRN19206
FL
Other
Enumeration date
06/30/2012
Last updated
08/31/2021
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