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)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