Individual
MR. HERBERT GEORGE SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.O.
Contact information
Practice address
4109 LITTLE RD, SUITE 102, TRINITY, FL 34655-1715
(727) 645-6978
(727) 807-3331
Mailing address
4109 LITTLE RD, SUITE 102, TRINITY, FL 34655-1715
(727) 645-6978
(727) 807-3331
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POR81
FL
224P00000X
Prosthetist
Primary
POR81
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M000M
BCBS
FL
Enumeration date
04/06/2010
Last updated
07/07/2010
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