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Organization
MEDFAST
Active
Organization
MEDFAST
Active
Other names
Smocer
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JOSEPH SMOCER (AMBR)
(631) 552-2859
Entity
Organization
Contact information
Practice address
4061 58TH AVENUE N LOT 325, PINELLAS PARK, FL 33781
(631) 552-2859
Mailing address
4061 58TH AVENUE N, LOT 325, PINELLAS PARK, FL 33781
(631) 552-2859
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
07/29/2025
Last updated
08/02/2025
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