Individual
MR. JAMES LYLE SMUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1020 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4838
(850) 916-8650
Mailing address
12911 SANTA LUCIA CIR APT 202, TAMPA, FL 33635-9714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001781
VA
Other
Enumeration date
10/23/2013
Last updated
04/03/2014
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