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Contact Information

NICHOLAS A SMITH, D.O
1600 SW ARCHER RD
GAINESVILLE, FL32610-3003
 Phone: 352-273-5159
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NICHOLAS A SMITH · (Male)

NPI Number 1629203815
Status Active
Credentials D.O
Entity Individual
Enumeration date 05/18/2009
Last updated 01/30/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS20600
  • ND License # 14269
  • FL Medicaid 120820900
Hospital affiliation(s)
  • ALTRU HOSPITAL - (Acute Care)
    1200 S COLUMBIA RD
    GRAND FORKS, ND 58201
  • PEMBINA COUNTY MEMORIAL HOSPITAL - (Critical Access)
    BOX 380
    CAVALIER, ND 58220
  • THE MERCY HOSPITAL OF DEVILS LAKE - (Critical Access)
    1031 7TH ST NE
    DEVILS LAKE, ND 58301
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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