Smith, Cory R
Smith, Cory R is an sole proprietor health care provider with primary practice located at 820 Prudential Dr Suite 606, Jacksonville FL 32207-8210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Smith, Cory R can be contacted via phone (904) 398-3356.Contact Information
Primary practice address
820 Prudential Dr Suite 606
Jacksonville FL 32207-8210
Phone: (904) 398-3356
Fax: (904) 398-5397
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | AA193 | Florida |
Profile Details
NPI number | 1801225099 |
---|---|
LBN Legal business name | Smith, Cory R |
Credentials | Associate of Arts (AA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 7th, 2013 |
Last updated | Nov 8th, 2013 - about 11 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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