Individual
MR. OLDEN O SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1520 NW 55TH AVE, LAUDERHILL, FL 33313-5452
(954) 300-5852
(954) 485-4391
Mailing address
1520 NW 55TH AVE, LAUDERHILL, FL 33313-5452
(954) 300-5852
(954) 485-4391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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