J S Michael Smith MD PA

NPI #1497014161 in Jay, Florida

Provider Information

NPI Number: 1497014161
Entity Type: Organization
Organization Name: J S Michael Smith MD PA
Primary Specialty: Family Medicine
Enumeration Date: May 15, 2012
Last Updated: Oct 26, 2012

Practice Location

Address: 14088 ALABAMA ST
City: Jay
State: Florida
ZIP Code: 32565-1036
Phone: (850) 675-4546

Authorized Official

Name: JOHN STEWART MICHAEL SMITH, MD
Title: OWNER/PRESIDENT
Phone: (850) 675-4546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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