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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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