# MEDFAST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smocer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497638241
- **Authorized official:** DANIEL JOSEPH SMOCER (AMBR)
- **Authorized official phone:** (631) 552-2859

## Contact information

- **Practice address:** 4061 58TH AVENUE N LOT 325, PINELLAS PARK, FL 33781
- **Practice address phone:** (631) 552-2859
- **Mailing address:** 4061 58TH AVENUE N, LOT 325, PINELLAS PARK, FL 33781
- **Mailing address phone:** (631) 552-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 342000000X | Transportation Network Company | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2025
- **Last updated:** 08/02/2025