R D Smith, Incorporated | |
100 Doctors Dr Ste C Panama City FL 32405-7609 | |
(850) 866-1681 | |
Not Available |
Full Name | R D Smith, Incorporated |
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Speciality | Family Medicine |
Location | 100 Doctors Dr Ste C, Panama City, Florida |
Authorized Official Name and Position | Rachael Smith (OWNER) |
Authorized Official Contact | 8508661681 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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R D Smith, Incorporated Po Box 1128 Panama City FL 32402-1128 Ph: (850) 866-1681 | R D Smith, Incorporated 100 Doctors Dr Ste C Panama City FL 32405-7609 Ph: (850) 866-1681 |
NPI Number | 1942839543 |
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Provider Enumeration Date | 04/06/2020 |
Last Update Date | 04/06/2020 |
Medicare PECOS PAC ID | 4880016781 |
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Medicare Enrollment ID | O20200623001777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942839543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rachael Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679101232 PECOS PAC ID: 7416379326 Enrollment ID: I20200623001892 |
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