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Individual

JORDAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4740 S OCEAN BLVD APT 1209, HIGHLAND BEACH, FL 33487-5361
(561) 573-2127
Mailing address
4740 S OCEAN BLVD APT 1209, HIGHLAND BEACH, FL 33487-5361
(561) 573-2127

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
297071
NY
207L00000X
Anesthesiology Physician
ME138993
FL
208D00000X
General Practice Physician
297071
NY

Other

Enumeration date
03/31/2017
Last updated
02/03/2025
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