Dr Jessica Ilene Smith, MD | |
2137 Little Rd, Trinity, FL 34655-4410 | |
(727) 372-6760 | |
(727) 372-6808 |
Full Name | Dr Jessica Ilene Smith |
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Gender | Female |
Speciality | Pediatrics |
Location | 2137 Little Rd, Trinity, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578519377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME95922 (Florida) | Primary |
Entity Name | Hinton Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760626147 PECOS PAC ID: 8123178753 Enrollment ID: O20090602000628 |
Mailing Address | Practice Location Address |
---|---|
Dr Jessica Ilene Smith, MD 10135 Belgrave Rd, Tampa, FL 33626-5409 Ph: (813) 920-7057 | Dr Jessica Ilene Smith, MD 2137 Little Rd, Trinity, FL 34655-4410 Ph: (727) 372-6760 |
Taylor Alberdi Bradley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10537 State Road 54, Trinity, FL 34655 Phone: 727-376-8404 | |
Dr. Ramu Srinivas Jonnalagadda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10710 Fl-54, Trinity, FL 34655 Phone: 727-376-4040 | |
Dr. Christopher Smith, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 Fax: 727-372-6808 | |
Dr. Mina Ekladios, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 Fax: 727-376-8824 | |
Dr. Michael Couzens Jordan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 Fax: 727-372-6808 | |
Graciela F Egli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10710 State Road 54 Ste 108, Trinity, FL 34655 Phone: 727-376-4040 Fax: 727-376-8824 | |
Cary A Aungst, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2137 Little Rd, Trinity, FL 34655 Phone: 727-372-6760 |