Smith, Bryan James
Smith, Bryan James is an individual health care provider with primary practice located at 1005 Mar Walt Drive , Fort Walton Beach FL 32547-6796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Bryan James can be contacted via phone (850) 863-8100.Contact Information
Primary practice address
1005 Mar Walt Drive
Fort Walton Beach FL 32547-6796
Phone: (850) 863-8100
Fax: (850) 862-2303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME107850 | Florida |
Profile Details
NPI number | 1104868033 |
---|---|
LBN Legal business name | Smith, Bryan James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | Feb 11th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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