Smith, James Darryl

Smith, James Darryl is an sole proprietor health care provider with primary practice located at 4566 E Highway 20 , Niceville FL 32578-8838. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, James Darryl can be contacted via phone (850) 897-7546.

Contact Information

Primary practice address
4566 E Highway 20 Niceville FL 32578-8838
Phone: (850) 897-7546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107749 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107749 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107749 Florida

Profile Details

NPI number 1568886406
LBN Legal business name Smith, James Darryl
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2014
Last updated Feb 12th, 2014 - about 10 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 1568886406 NPPES
Florida Other PA9107749 DEPARTMENT OF HEALTH

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