Smiley, Justin

Smiley, Justin is an individual health care provider with primary practice located at 43 Cassine Way Ste 102 , Santa Rosa Beach FL 32459-0457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smiley, Justin can be contacted via phone (850) 231-1919.

Contact Information

Primary practice address
43 Cassine Way Ste 102 Santa Rosa Beach FL 32459-0457
Fax: (850) 231-1918
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44001 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS12346 Florida

Profile Details

NPI number 1457568685
LBN Legal business name Smiley, Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Sep 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457568685 NPPES
Florida MEDICAID 010391100

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