Female

Ms. Donna J. Smith PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Ms. Donna Jo Smith PA-C

NPI Number

1306827225

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/08/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA3168

Contact
Information

Purpose

Mailing
Location

Address

11945 SAN JOSE BLVD 300
10475 CENTURION PKWY N

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32223-1627
32256-5003

Country

US
US

Telephone Number

(904) 396-1725
(904) 399-0350

Identifiers

Identifier

003133338A
970010579
008639600

Identifier State

GA
FL
FL

Identifier Issuer

Unknown
RAILROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/18/2015

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