Individual
KAVON SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 NE 5TH ST APT 107, HOMESTEAD, FL 33033-7676
(772) 480-7163
Mailing address
1967 SW CAPEADOR ST, PORT ST LUCIE, FL 34953-1747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24160
FL
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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