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NPI Code Detail

MEDICARE: DR. SUZANNE MCGUFFIN SMITH D.C.

MEDICARE:  DR. SUZANNE MCGUFFIN SMITH  D.C.
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
1111N00000XChiropractorCH10247FL

General Provider Information

NPI Number : 1679866693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZANNE MCGUFFIN SMITH D.C.
Provider Business Mailing Address
First Line : 1123 3RD ST N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-7240
Country : US
Telephone Number : 904-372-0322
Fax Number : 904-372-0527
Provider Business Practice Location Address
First Line : 1123 3RD ST N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250
Country : US
Telephone Number : 904-372-0322
Fax Number : 904-372-0527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2011
Last Update Date : 06/08/2018

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Directions to “ DR. SUZANNE MCGUFFIN SMITH D.C.” Practice Location

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