Individual provider · Type 1 NPI

Spencer Smith, PA

Physician Assistant · Fleming Island, FL

NPI number 1679050611 Active

Practice location

4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822

Fax (904) 269-4597

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9120420 (FL)
Physician Assistant Primary 363A00000XPA9120420 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679050611

Spencer Smith, PA's National Provider Identifier is 1679050611, issued on Jul 23, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fleming Island, FL. The record was last updated on Aug 25, 2025.