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Individual

WAYNE LEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCHIS

Contact information

Practice address
410 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3534
(321) 784-2668
(321) 784-6048
Mailing address
PO BOX 490065, LEESBURG, FL 34749-0065
(321) 784-2668
(321) 784-6048

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS1093
FL

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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