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Individual

DR. ASHLEY A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8055 OVERSEAS HWY, MARATHON, FL 33050-3228
(305) 743-6299
(305) 743-2921
Mailing address
PO BOX 522345, MARATHON SHORES, FL 33052-2345
(305) 743-6299
(305) 743-2921

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0086437
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272725100
FL
01
28591
BLUE CROSS BLUE SHIELD
FL
01
P00272087
RAILROAD MEDICARE
FL
Enumeration date
04/20/2006
Last updated
08/14/2009
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