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Contact Information

RENALDAS SMIDTAS, MD
413 NW 5TH AVE
JASPER, FL32052
 Phone: 386-792-0753
 Fax: 386-792-2412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RENALDAS SMIDTAS · (Male)

NPI Number 1568571263
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 12/23/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0069486
  • FL Medicaid 378783400
  • FL Other 103986 AVMED
  • FL Other 27984 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • LAKE CITY MEDICAL CENTER - (Acute Care)
    340 NW COMMERCE DR
    LAKE CITY, FL 32055
  • MADISON COUNTY MEMORIAL HOSPITAL - (Critical Access)
    309 NE MARION ST
    MADISON, FL 32340
  • SOUTH GEORGIA MEDICAL CENTER - (Acute Care)
    2501 NORTH PATTERSON STREET, PO BOX 1727
    VALDOSTA, GA 31603
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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