Smock, Andrew Lawrence

Smock, Andrew Lawrence is an individual health care provider with primary practice located at 4645 Nw 8Th Ave , Gainesville FL 32605-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Smock, Andrew Lawrence can be contacted via phone (352) 264-2500.

Contact Information

Primary practice address
4645 Nw 8Th Ave Gainesville FL 32605-4524
Fax: (352) 331-9095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME69600 Florida

Profile Details

NPI number 1801862768
LBN Legal business name Smock, Andrew Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
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 1801862768 NPPES
Florida MEDICAID 260197400

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