Individual
CIARAN SMYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 NE 199TH ST STE 205, AVENTURA, FL 33180-3108
(544) 175-2869
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS19143
FL
Other
Enumeration date
03/16/2019
Last updated
09/01/2022
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