Smith, Doris Elizabeth

Smith, Doris Elizabeth is an individual health care provider with primary practice located at 515 W 6Th St , Jacksonville FL 32206-4324. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Smith, Doris Elizabeth can be contacted via phone (904) 253-1250.

Contact Information

Primary practice address
515 W 6Th St Jacksonville FL 32206-4324
Phone: (904) 253-1250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9310951 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9310951 Florida

Profile Details

NPI number 1578967618
LBN Legal business name Smith, Doris Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Jan 26th, 2016 - 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 1578967618 NPPES
Florida MEDICAID 014216100

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