Smolen, Jamie Robert

Smolen, Jamie Robert is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100256, Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Smolen, Jamie Robert can be contacted via phone (352) 265-7999.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100256 Gainesville FL 32610-3003
Phone: (352) 265-7999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME82196 Florida
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X ME82196 Florida

Profile Details

NPI number 1164470449
LBN Legal business name Smolen, Jamie Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 26th, 2013 - about 11 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 1164470449 NPPES
Florida MEDICAID 009109300

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