Individual
CHAD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5818 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6316
(706) 577-4687
Mailing address
10290 SWEET BAY ST, PLANTATION, FL 33324-8269
(706) 577-4687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30613
FL
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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