Individual
DR. KEVIN B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2080 CHILD STREET, JACKSONVILLE, FL 32214-5000
(904) 542-7300
Mailing address
2080 CHILD STREET, JACKSONVILLE, FL 32214-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20120223206
MO
Other
Enumeration date
11/20/2012
Last updated
06/25/2024
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