Stephen Glen Smith, PA-C

Physician Assistant · Jensen Beach, FL

Individual Active NPI

NPI number 1801015037

Practice location

6501 S Ocean Dr
Jensen Beach, FL 34957-2041
Phone
(772) 468-4206
Fax
(772) 468-4270

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NPI record

NPI
1801015037
Entity type
Individual (Type 1)
Enumeration date
April 25, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9101253 FL

Mailing address

1462 SE Griffin Ter
Port Saint Lucie, FL 34952-5414
Phone
(772) 337-0981
Fax
(772) 335-9941

About Stephen Smith

Stephen Glen Smith, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 6501 S Ocean Dr, Jensen Beach, FL 34957-2041. The NPI number 1801015037 was assigned on April 25, 2007 and the record was last updated on July 8, 2007.

Stephen Smith lists a license in the registry: #PA9101253 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Glen Smith, PA-C?

The NPI number is 1801015037.

What is the phone number of Stephen Smith?

The phone number listed for the practice location is (772) 468-4206.

Where is Stephen Smith located?

6501 S Ocean Dr, Jensen Beach, FL 34957-2041.

What is the taxonomy code for Stephen Smith?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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