Organization
DONZA FIRST ASSIST
Active
Organization
DONZA FIRST ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD RAY SMITH JR. PA (OWNER)
(850) 393-1181
Entity
Organization
Contact information
Practice address
7225 WEST FAIRFIELD DR., C-8, PENSACOLA, FL 32506-3488
(850) 393-1181
Mailing address
7225 WEST FAIRFIELD DR., C-8, PENSACOLA, FL 32506-3488
(850) 393-1181
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105176
FL
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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