Individual
JOSEPH ALLEN SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1484 FIELDVIEW DR, JACKSONVILLE, FL 32225-8267
(904) 962-0434
Mailing address
23 RYBAR LN, PALM COAST, FL 32164-6445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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