Dr Edward Wp Smith, MD | |
4479 Baymeadows Rd, Jacksonville, FL 32217-4716 | |
(904) 731-8300 | |
(904) 737-7901 |
Full Name | Dr Edward Wp Smith |
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Gender | Male |
Speciality | Dermatology |
Location | 4479 Baymeadows Rd, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467423533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME0026592 (Florida) | Primary |
Entity Name | First Coast Dermatology P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699968651 PECOS PAC ID: 4789660994 Enrollment ID: O20040628001322 |
Mailing Address | Practice Location Address |
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Dr Edward Wp Smith, MD 4479 Baymeadows Rd, Jacksonville, FL 32217-4716 Ph: (904) 731-8300 | Dr Edward Wp Smith, MD 4479 Baymeadows Rd, Jacksonville, FL 32217-4716 Ph: (904) 731-8300 |
John Paul Kartsonis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7711 Baymeadows Rd E Ste 6, Jacksonville, FL 32256 Phone: 904-731-1770 Fax: 904-996-8300 | |
Dr. Pearl Chu Kwong, MD PHD Dermatology Medicare: Medicare Enrolled Practice Location: 10175 Fortune Pkwy Unit 1203, Jacksonville, FL 32256 Phone: 904-519-5292 Fax: 904-519-5296 | |
Jeremy Kenneth Bray, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Donald Paul Lookingbill, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Tamara Brainard, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 2800 Child Street, Jacksonville, FL 32214 Phone: 904-542-7912 | |
Angelia Lenae Stepien, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 6817 Southpoint Pkwy Ste 101, Jacksonville, FL 32216 Phone: 904-430-7372 | |
Matthew Hall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |