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1144541152
MATTHEW THOMAS SMITH
JACKSONVILLE, FL
NPI
1144541152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OH 34.011481)
Enumeration Date
2010-06-14
Last Update Date
2019-08-01
Business Address
MATTHEW THOMAS SMITH DO
14540 OLD SAINT AUGUSTINE RD STE 2571
JACKSONVILLE, FL 32258-7420
Phone number: 904-886-2251
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Mailing Address
MATTHEW THOMAS SMITH DO
11945 SAN JOSE BLVD STE 300
JACKSONVILLE, FL 32223-1627
Phone number: 904-396-1725
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