Provider Demographics
NPI:1295829141
Name:SMITH, ROBERT PAUL II (AUD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:SMITH
Suffix:II
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 TALL OAK DR
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-2932
Mailing Address - Country:US
Mailing Address - Phone:850-479-1885
Mailing Address - Fax:
Practice Address - Street 1:5559 N DAVIS HWY
Practice Address - Street 2:#C
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2048
Practice Address - Country:US
Practice Address - Phone:850-479-1885
Practice Address - Fax:850-479-1152
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01585231H00000X
FLAY1534231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist