JACQUELINE E. SMITH MD. PA


Address: 4101 Nw 4th St, Suite 409, Plantation, FL 33317-2850
Phone: 9543219555

JACQUELINE E. SMITH MD. PA (NPI# 1891046199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891046199
Entity Type Organization
Organization Name JACQUELINE E. SMITH MD. PA
Practice Address 4101 Nw 4th St
Suite 409
Plantation
FL 33317-2850
Practice Telephone 9543219555
Practice Fax Number 9543219557
Mailing Telephone 9543219555
Mailing Fax Number 9543219557
Enumeration Date 2012-09-26
Last Update Date 2012-09-26
Authorized Official Name DR. JACQUELINE ELIZABETH SMITH (OWNER)
Authorized Official Telephone 9543219555
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 71500 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 251684500 05

Office Location

Street Address 4101 NW 4TH ST
SUITE 409
City PLANTATION
State FL
Zip Code 33317-2850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235124629 Andrew S Ellowitz Orthopaedic Surgery 4101 Nw 4th St, Suite 305, Plantation, FL 33317-2850 2005-09-13
1386141414 Jessica Saint Clair Nurse Practitioner 4101 Nw 4th St, Plantation, FL 33317-2850 2018-04-05
1043757537 Alan Bruce Dautch, Pa Chiropractor 4101 Nw 4th St, #208, Plantation, FL 33317-2850 2017-01-23
1750779682 Claudine Mckenzie Nurse Practitioner 4101 Nw 4th St, Suite 200, Plantation, FL 33317-2850 2014-12-30
1073941324 Syretta Morris Nurse Practitioner 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 2013-10-24
1154762771 Injury Treatment Center of Coral Springs, Inc. Non-Pharmacy Dispensing Site 4101 Nw 4th St, #208, Plantation, FL 33317-2850 2013-07-11
1235472671 Genestem Clinic/Center 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 2013-04-04
1710226055 Michelle Margaret Roachford Nurse Practitioner 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 2013-02-06
1861748717 Vicky Jasmine Marsh Family Medicine 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 2012-07-30
1093074510 Joanna Antoinette Dunk Nurse Practitioner 4101 Nw 4th St, Suite 404, Plantation, FL 33317-2850 2012-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704434 Md Now Medical Centers Inc Clinic/Center 4640 W Commercial Blvd, Tamarac, FL 33317 2019-08-06
1902348675 Atroypen Group, Inc Case Management 4330 W Broward Blvd Ste R, Plantation, FL 33317 2016-11-13
1417329665 Marie Eronne Jean Charles Nurse Practitioner 6901 Cypress Road, Plantation, FL 33317 2015-10-28
1871977025 Yanliceth Rodriguez Clinic/Center 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 2015-07-17
1710361472 Melissa Coffman Physician Assistant 960 Sw 74th Avenue, Plantation, FL 33317 2015-07-13
1134511058 Emad Ziaden Physical Therapist 747 S. State Rd 7, Plantation, FL 33317 2015-03-02
1760880710 Michael Robert Tanguay Orthotist 450 North State Road 7, Plantation, FL 33317 2014-12-08
1821427675 Mankame, Dipak M., D.d.s., P.a. Dentist 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 2013-11-02
1679828826 Kozy Kove Assisted Living Facility Assisted Living Facility 490 Nw 45 Terr, Plantation, FL 33317 2012-07-13
1205102845 Aratha Franklin Dixon Psychologist 4121 Nw 5th # 207, Plantation, FL 33317 2012-03-28
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760725626 Ilan Jeffrey Epstein Ophthalmology 850 S Pine Island Rd Ste 100a, Plantation, FL 33324 2013-03-29
1700048501 Geetha Ganti Vedula Ophthalmology 1776 N Pine Island Rd Ste 214, Plantation, FL 33322 2008-07-02
1598936924 Dan Georgescu Ophthalmology 1776 N Pine Island Rd Ste 218, Plantation, FL 33322-5223 2008-03-13
1346294113 South Florida Laser Eye Center Ophthalmology 8051 W Sunrise Blvd, Plantation, FL 33322-4103 2006-05-19
1609826825 Eric Ferdinand Ciliberti Ophthalmology 8051 W. Sunrise Blvd, Plantation, FL 33322-3118 2006-05-10
1942265368 Eye Associates of Plantation Inc Ophthalmology 499 Nw 70 Avenue, Suite 100, Plantation, FL 33317 2006-04-19
1205827540 William C. Albert Ophthalmology 850 S Pine Island Rd, Ste 102, Plantation, FL 33324-3118 2005-11-04
1972590149 Raananah S Katz Ophthalmology 1776 N Pine Island Rd, Ste 214, Plantation, FL 33322-5233 2005-10-04
1558363291 Wayne Franklin Bizer Ophthalmology 850 S. Pine Island Rd., Ste A100, Plantation, FL 33324 2005-08-12
1053318402 Neil E Kanterman Ophthalmology 220 Sw 84th Ave, Suite 204, Plantation, FL 33324-2754 2005-06-30
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Competitor

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City PLANTATION
Zip Code 33317

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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