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Individual

JEFFREY ALLEN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(321) 843-5500
(321) 843-5550
Mailing address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(321) 843-5500
(321) 843-5550

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
ARNP9244877
FL

Other

Enumeration date
12/20/2012
Last updated
03/18/2013
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