Smith, David

Smith, David is an sole proprietor health care provider with primary practice located at 1838 Mcintosh Pl , Jacksonville FL 32210-2224. He recently has 3 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Smith, David can be contacted via phone (813) 240-2610.

Contact Information

Primary practice address
1838 Mcintosh Pl Jacksonville FL 32210-2224
Phone: (813) 240-2610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 123538 Florida
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD31618 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.31618 Alabama

Profile Details

NPI number 1821230236
LBN Legal business name Smith, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2009
Last updated Dec 11th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821230236 NPPES
Alabama Other 511-26510 BCBS
Alabama MEDICAID 139215 BCBS
Alabama Other 511-26484 BCBS
Alabama MEDICAID 138530 BCBS

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