Male or Other

Mr. Scott M. Smith P.A.

Medical Physician Assistant in Merritt Island, FL(View on Map)

Full Name

Mr. Scott Michael Smith P.A.

NPI Number

1285950188

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/16/2010

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA 9101218

Contact
Information

Purpose

Mailing
Location

Address

700 FAWN LILY CT
1395 N COURTENAY PKWY

City

Oviedo
Merritt Island

State

FL
FL

Postal Code

32766-6611
32953-4400

Country

US
US

Telephone Number

(732) 456-2308
(321) 529-7300

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

Data last updated by provider on 11/18/2016

Provider Address

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