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Russell Burton Smith, MD
Otolaryngology Physician in Jacksonville, Florida
NPI 1134112261

Russell Burton Smith is a Otolaryngology Physician based in Altamonte Springs, FL. Russell Burton Smith practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Russell Burton Smith is 1134112261 and holds a License No. 24197 (Florida).

The current practice location address for Russell Burton Smith is 1301 Palm Ave, Jacksonville, FL and can be reached out via phone at 904-202-7300 and via fax at 904-202-7433.

Location: 1301 Palm Ave, Jacksonville, FL, 32701-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134112261
Provider Name
Russell Burton Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1301 Palm Ave, Jacksonville, FL, 32701-5103
Phone Number
904-202-7300
Fax Number
904-202-7433
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025044400 05 NE
1134112261 05 IA
0212142 05 IA
47078557504 05 NE
19770 01 IA WELLMARK BCBS
institution
Provider Business Practice Location Address Details
Address
1301 Palm Ave
City
Jacksonville
State
Florida
Zip
32207-8432
Phone Number
904-202-7300
Fax Number
904-202-7433
person
Provider Business Mailing Address Details
Address
1301 Palm Ave
City
Jacksonville
State
Florida
Zip
32207-8432
Phone Number
904-202-7300
Fax Number
904-202-7433
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
ME134346 (Florida)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
24197 (Nebraska)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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