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NPI Code Detail

MEDICARE: DR. WILLIAM EDGAR SMITH JR. MD

MEDICARE:  DR. WILLIAM EDGAR SMITH JR. MD
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
1207X00000XOrthopaedic Surgery PhysicianME42043FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114921921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM EDGAR SMITH JR. MD
Provider Business Mailing Address
First Line : 1823 N 9TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-5270
Country : US
Telephone Number : 850-432-3293
Fax Number : 850-469-9113
Provider Business Practice Location Address
First Line : 1823 N 9TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-5270
Country : US
Telephone Number : 850-432-3293
Fax Number : 850-469-9113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 02/24/2020

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Directions to “ DR. WILLIAM EDGAR SMITH JR. MD” Practice Location

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