Individual
THOMAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 N US HIGHWAY 1, SUITE 500, JUPITER, FL 33477-4482
(561) 758-2111
Mailing address
1001 N US HIGHWAY 1, SUITE 500, JUPITER, FL 33477-4482
(561) 758-2111
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
17009
AL
261QH0100X
Health Service Clinic/Center
2013002834
MO
261QH0100X
Health Service Clinic/Center
34187
SC
261QH0100X
Health Service Clinic/Center
Primary
D0079396
MD
261QH0100X
Health Service Clinic/Center
MD444912
PA
Other
Enumeration date
07/03/2016
Last updated
04/21/2017
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