Individual
CHARLES SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMS
Contact information
Practice address
220 N SYKES CREEK PKWY STE 200, MERRITT ISLAND, FL 32953-3490
(321) 419-4748
(321) 419-4748
Mailing address
220 N SYKES CREEK PKWY STE 200, MERRITT ISLAND, FL 32953-3490
(321) 419-4748
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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