Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaine Daniel Smith, MD

Individual provider Otolaryngology Physician · NPI 1568996775

Blaine Daniel Smith, MD is an Otolaryngology in Jacksonville, Florida. Graduated from University of Texas Medical School at Houston in 2017, 9 years ago. Practices with Baptist MD Anderson Cancer Physicians Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
9
Trained at
University of Texas Medical School at Houston
Licensed in
FL, NC
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1301 Palm Ave Ste 600
Jacksonville, FL 32207-8457
Phone: (904) 202-7300
Fax: (904) 202-2754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME161800 (FL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 2022-01059 (NC)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence ME161800 (FL)

Record details

NPI number1568996775
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2017
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 746654, Atlanta, GA 30374-6654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY, SURGICAL ONCOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2017 (9 years in practice)
Group practice Baptist Md Anderson Cancer Physicians Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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