Smith, Jacqueline Elizabeth
Smith, Jacqueline Elizabeth is an sole proprietor health care provider with primary practice located at 4101 Nw 4Th St # 409, Plantation FL 33317-2850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Smith, Jacqueline Elizabeth can be contacted via phone (954) 321-9555.Contact Information
Primary practice address
4101 Nw 4Th St # 409
Plantation FL 33317-2850
Phone: (954) 321-9555
Fax: (954) 321-9557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 71500 | Florida |
Profile Details
| NPI number | 1396709689 |
|---|---|
| LBN Legal business name | Smith, Jacqueline Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Sep 18th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396709689 | NPPES |
| Florida | MEDICAID | 251684500 |
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