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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPENCER SMITH, PA

Active

SPENCER SMITH, PA is a Physician Assistant healthcare provider located in FLEMING ISLAND, Florida. NPI 1679050611 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FLEMING ISLAND, FL

Registration Details

NPI Number
1679050611
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2018 (7.8784417561536 yrs)
Last Updated
Aug 25, 2025
Licenses
PA9120420 (FL)
PA9120420 (FL)

Practice Information

Address
4565 US HIGHWAY 17 STE 106
FLEMING ISLAND, FL, 320034822
Browse FL providers · Browse ZIP 32003
Phone
9042694559
Fax
9042694597
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FLEMING ISLAND, FL

Name Credential NPI
MRS. LYNN R THIBODEAU PA 1811992696
JUDITH GAIL WHITMAN P.A.-C 1467504720
AMANDA R TAYLOR PA-C 1700913472
MISS ELIZABETH SPINNEY PA-C 1720265663
MS. ARIA RAE GIBBONS PA 1902114408
JESSICA L JUND PA-C 1235565276
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.