Smith, Nicholas Alexander

Smith, Nicholas Alexander is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Smith, Nicholas Alexander can be contacted via phone (352) 273-5159.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 273-5159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS20600 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 14269 North Dakota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS20600 Florida

Profile Details

NPI number 1629203815
LBN Legal business name Smith, Nicholas Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated Jan 30th, 2024 - about last year

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 1629203815 NPPES
Florida MEDICAID 120820900

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