Coastal Health

LBN: Mark A Smith Md,P.A.
Coastal Health is an health care organization with primary practice located at 10095 Beach Blvd Ste 300 , Jacksonville FL 32246-4775. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as the primary health care specialty. Mark A Smith Md,P.A. can be contacted via phone (904) 997-2221, or through Smith, Mark Anthony via phone (904) 997-2221.

Contact Information

Primary practice address
10095 Beach Blvd Ste 300 Jacksonville FL 32246-4775
Phone: (904) 997-2221
Fax: (904) 997-2297
Website:
Map and Directions
Authorized official contact:
Name: Smith, Mark Anthony Doctor of Medicine (MD)
Phone: (904) 997-2221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME77870 Florida

Profile Details

NPI number 1295744639
LBN Legal business name Mark A Smith Md,P.A.
DBA Doing business as Coastal Health
Authorized official Smith, Mark Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295744639 NPPES
Florida Other 1871558114 INDIVIDUAL PRACTITIONER

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