MEDICARE: WILLIAM JOHN SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS27798	FL

General Provider Information

NPI Number	:	1588386353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM JOHN SMITH

Provider Business Mailing Address
First Line	:	430 STATE ROAD 13
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32259-2835
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 STATE ROAD 13
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32259-2835
Country	:	US
Telephone Number	:	904-287-6369
Fax Number	:	904-287-2963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2022
Last Update Date	:	09/16/2022

Similar Medicare Providers

1487090742 — MRS. LEN WILLIAMS APRN
Practice Location Address:

430 STATE ROAD 13 N
JACKSONVILLE, FL
32259-2835

Practice Phone: 866-389-2727
Practice Fax:

1447354311 — HOLIDAY CVS LLC
Practice Location Address:

430 STATE ROAD 13
JACKSONVILLE, FL
32259-2835

Practice Phone: 904-287-6369
Practice Fax: 904-287-2963

1750771127 — VICTORIA YARBROUGH APRN
Practice Location Address:

430 STATE ROAD 13
SAINT JOHNS, FL
32259-2835

Practice Phone: 904-287-6369
Practice Fax:

1295880904 — BEACON RESPIRATORY SERVICES, INC.
Practice Location Address:

6550 SAINT AUGUSTINE RD , SUITE 101
JACKSONVILLE, FL
32217-2835

Practice Phone: 904-332-0656
Practice Fax: 904-332-9404

1205132578 — MULTI-DIMENSIONAL SERVICES & SUPPORTS, INC.
Practice Location Address:

2835 LORIMIER TER
JACKSONVILLE, FL
32207-4146

Practice Phone: 904-398-8235
Practice Fax: 904-398-8235

1932068186 — MR. NICHOLAS THEODORE OGBURN RMHCI
Practice Location Address:

860 FRUIT COVE RD
JACKSONVILLE, FL
32259-2851

Practice Phone: 904-610-4679
Practice Fax:

Directions to “ WILLIAM JOHN SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.