Individual
MR. MATTHEW RYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21756 STATE ROAD 54 STE 102A, LUTZ, FL 33549-2905
(813) 493-4093
(656) 444-7252
Mailing address
2920 BAYSHORE VISTA DR, TAMPA, FL 33611-5510
(813) 787-3347
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107760
FL
Other
Enumeration date
08/12/2007
Last updated
10/09/2025
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