Smith-Cameron, Jaynell
Smith-Cameron, Jaynell is an sole proprietor health care provider with primary practice located at 2105 Park St Ste B, Jacksonville FL 32204-3871. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Smith-Cameron, Jaynell can be contacted via phone (904) 354-1192.Contact Information
Primary practice address
2105 Park St Ste B
Jacksonville FL 32204-3871
Phone: (904) 354-1192
Fax: (904) 354-1193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO002487 | Florida |
Profile Details
NPI number | 1235276189 |
---|---|
LBN Legal business name | Smith-Cameron, Jaynell |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 31st, 2007 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235276189 | NPPES |
Florida | Other | 65404 | BCBSFL |
Florida | MEDICAID | 340105700 | BCBSFL |
Florida | Other | 40029653 | BCBSFL |
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