Individual
MR. DAJAN TYRONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8714 SANDY PLAINS DR, RIVERVIEW, FL 33578-8615
(813) 777-4453
Mailing address
8714 SANDY PLAINS DR, RIVERVIEW, FL 33578-8615
(813) 777-4453
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
524680
FL
172A00000X
Driver
Primary
S530178802140
FL
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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