Organization
GREGORY N. SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY NEAL SMITH MD (OWNER)
(904) 261-8787
Entity
Organization
Contact information
Practice address
1250 S 18TH ST, SUTIE 204, AMELIA ISLAND, FL 32034-1902
(904) 261-8787
(904) 261-9353
Mailing address
1250 S 18TH ST, SUITE 204, AMELIA ISLAND, FL 32034-1902
(904) 261-8787
(904) 261-9353
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME66525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253374000
—
FL
Enumeration date
08/23/2011
Last updated
12/08/2011
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