Doctor Name: | DR. MELISSA C SMITH-HORN |
NPI Number: | 1184627374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME90382 |
Business Practice Address: | 1600 Park Ave Ste 7 Orange Park, FL - 320734999 |
Business Phone Number: | 9042646733 |
Business Fax Number: | 9042646833 |
Mailing Address: | 1600 Park Ave, Ste 7 ORANGE PARK |
State: | FL |
Postal Code: | 320734999 |
Phone Number: | 9042646733 |
Fax Number: | 9042646833 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME90382 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |